MEDICARE: MELISSA ANN LAFLAMME MA

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	NLC8539	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NLC8539	OTHER	CO	REGISTERED PSYCHOTHERAPY LICENSE

General Provider Information

NPI Number	:	1902325376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ANN LAFLAMME MA

Provider Business Mailing Address
First Line	:	1001 E BAYAUD AVE APT 1605
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-2385
Country	:	US
Telephone Number	:	720-253-5138
Fax Number	:	720-253-5138

Provider Business Practice Location Address
First Line	:	190 E 9TH AVE STE 480
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2744
Country	:	US
Telephone Number	:	720-253-5138
Fax Number	:

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

Provider Enumeration Date	:	09/16/2017
Last Update Date	:	09/16/2017

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Directions to “ MELISSA ANN LAFLAMME MA” Practice Location

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