| Doctor Name: | MELISSA MADDEN |
| NPI Number: | 1003996695 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 1191 |
| Business Practice Address: | 302 N Jackson St Starkville, MS - 397592504 |
| Business Phone Number: | 6623239261 |
| Business Fax Number: | 6623239380 |
| Mailing Address: | 507 W Main St, LOUISVILLE |
| State: | MS |
| Postal Code: | 393392559 |
| Phone Number: | 6627739377 |
| Fax Number: | 6627739025 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |