MEDICARE: MRS. MELISSA KAY BARLEY-TRINDLE

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

General Provider Information

NPI Number	:	1952596215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA KAY BARLEY-TRINDLE

Provider Business Mailing Address
First Line	:	2116 ARLINGTON AVE
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90018-1365
Country	:	US
Telephone Number	:	323-737-3900
Fax Number	:	323-737-3993

Provider Business Practice Location Address
First Line	:	2116 ARLINGTON AVE
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90018-1365
Country	:	US
Telephone Number	:	323-737-3900
Fax Number	:	323-737-3993

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

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	09/10/2007

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