MEDICARE: MELISSA PAINTER 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	2720	MS

General Provider Information

NPI Number	:	1871362715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA PAINTER LPC

Provider Business Mailing Address
First Line	:	PO BOX 145
Second Line	:
City	:	ARCOLA
State	:	MS
Zip	:	38722-0145
Country	:	US
Telephone Number	:	662-487-5137
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 BAILEY DR
Second Line	:
City	:	HOLLANDALE
State	:	MS
Zip	:	38748-3206
Country	:	US
Telephone Number	:	662-487-5137
Fax Number	:

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

Provider Enumeration Date	:	12/20/2023
Last Update Date	:	12/20/2023

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Directions to “ MELISSA PAINTER LPC” Practice Location

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