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NPI Code Detail

MEDICARE: MICAH MELONI LPC

MEDICARE: MICAH MELONI 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
1101Y00000XCounselorC.2406702OH

General Provider Information

NPI Number : 1700655479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICAH MELONI LPC
Provider Business Mailing Address
First Line : 1960 E COUNTY LINE RD STE 5
Second Line :
City : MINERAL RIDGE
State : OH
Zip : 44440-9451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45875 BELL SCHOOL RD STE B
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-8728
Country : US
Telephone Number : 330-397-6007
Fax Number : 234-254-5655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2023
Last Update Date : 02/09/2026

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Directions to “ MICAH MELONI LPC” Practice Location

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