MEDICARE: MELANIE BAREFIELD LPC, LMFT

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	MFT001622	GA
2	101YM0800X	Mental Health Counselor	LPC010131	GA

General Provider Information

NPI Number	:	1497346266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE BAREFIELD LPC, LMFT

Provider Business Mailing Address
First Line	:	3900 SWISS AVE APT 114
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6415
Country	:	US
Telephone Number	:	505-660-9218
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 SWISS AVE APT 114
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6415
Country	:	US
Telephone Number	:	505-660-9218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	02/03/2021

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