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NPI Code Detail

MEDICARE: MRS. MELISSA THOMSEN MHS

MEDICARE:  MRS. MELISSA  THOMSEN  MHS
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
1101YM0800XMental Health Counselor11219LA

General Provider Information

NPI Number : 1508612565
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA THOMSEN MHS
Provider Business Mailing Address
First Line : PO BOX 11612
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71315-1612
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 520 OLIVE ST STE A200
Second Line :
City : SHREVEPORT
State : LA
Zip : 71104-2312
Country : US
Telephone Number : 916-764-7868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2024
Last Update Date : 05/16/2026

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Directions to “ MRS. MELISSA THOMSEN MHS” Practice Location

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