MEDICARE: MRS. MELISSA B AUSTIN M.A., LPCC

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
2	101YP2500X	Professional Counselor	172179	KY

General Provider Information

NPI Number	:	1578603403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA B AUSTIN M.A., LPCC

Provider Business Mailing Address
First Line	:	1043 CENTER DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3838
Country	:	US
Telephone Number	:	859-314-1281
Fax Number	:	859-353-8032

Provider Business Practice Location Address
First Line	:	1043 CENTER DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3838
Country	:	US
Telephone Number	:	859-314-1281
Fax Number	:	859-353-8032

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	03/17/2025

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