MEDICARE: MELINDA MESSINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH3747	FL

General Provider Information

NPI Number	:	1487066825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELINDA MESSINA

Provider Business Mailing Address
First Line	:	43 BARKLEY CIR
Second Line	:	STE 102
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4510
Country	:	US
Telephone Number	:	239-939-4566
Fax Number	:

Provider Business Practice Location Address
First Line	:	43 BARKLEY CIR
Second Line	:	STE 102
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4510
Country	:	US
Telephone Number	:	239-939-4566
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELINDA MESSINA
Credential	:	LMHC
Telephone Number	:	239-939-4566

Provider Enumeration Date	:	05/20/2014
Last Update Date	:	05/20/2014

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Directions to “MELINDA MESSINA ” Practice Location

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