MEDICARE: MELISSA ANNE BARRY MA, LPC MHSP, LPC

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	101YP2500X	Professional Counselor	8695	TN
2	101YM0800X	Mental Health Counselor	71516	TX
3	101YP2500X	Professional Counselor	71516	TX

General Provider Information

NPI Number	:	1689428989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ANNE BARRY MA, LPC MHSP, LPC

Provider Business Mailing Address
First Line	:	612 LIVERPOOL LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-0806
Country	:	US
Telephone Number	:	940-704-6544
Fax Number	:

Provider Business Practice Location Address
First Line	:	612 LIVERPOOL LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-0806
Country	:	US
Telephone Number	:	940-704-6544
Fax Number	:

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

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	06/12/2026

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