MEDICARE: MRS. MELISSA A TRUE LCSW

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	LC15051	ME
2	101YM0800X	Mental Health Counselor	SW13359	FL
3	101YM0800X	Mental Health Counselor	62198	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SW13359	OTHER	FL	LCSW
2	SW.14935CP	OTHER	SC	LICSW
3	LCSW-0904013536	OTHER	VA	LCSW
4	62198	OTHER	TX	LCSW
5	LC15051	OTHER	ME	LCSW

General Provider Information

NPI Number	:	1831330430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA A TRUE LCSW

Provider Business Mailing Address
First Line	:	200 N RUFE SNOW DR STE 202
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-4239
Country	:	US
Telephone Number	:	682-356-2961
Fax Number	:	682-626-4552

Provider Business Practice Location Address
First Line	:	4604 VISTA MEADOWS DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244
Country	:	US
Telephone Number	:	682-356-2961
Fax Number	:	682-626-4552

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

Provider Enumeration Date	:	03/12/2009
Last Update Date	:	06/08/2023

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