MEDICARE: MRS. MICHELE ANNE MELARAGNO LPCC-S

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	E0500951-S	OH
2	106H00000X	Marriage & Family Therapist	E0500951-S	OH

General Provider Information

NPI Number	:	1598809964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELE ANNE MELARAGNO LPCC-S

Provider Business Mailing Address
First Line	:	1170 OLD HENDERSON RD
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3623
Country	:	US
Telephone Number	:	614-442-7650
Fax Number	:	614-442-7656

Provider Business Practice Location Address
First Line	:	1170 OLD HENDERSON RD
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3623
Country	:	US
Telephone Number	:	614-442-7650
Fax Number	:	614-442-7656

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

Provider Enumeration Date	:	02/17/2007
Last Update Date	:	03/31/2011

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Directions to “ MRS. MICHELE ANNE MELARAGNO LPCC-S” Practice Location

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