| Doctor Name: | MELODY ANITA HUBNIK |
| NPI Number: | 1093817462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D.,LPC,LMFT |
| License Number: | 15706 |
| Business Practice Address: | 6226 Colleyville Blvd Suite A Colleyville, TX - 760346277 |
| Business Phone Number: | 8173100507 |
| Business Fax Number: | 8173100877 |
| Mailing Address: | 6226 Colleyville Blvd Suite A, COLLEYVILLE |
| State: | TX |
| Postal Code: | 760346277 |
| Phone Number: | 8173100507 |
| Fax Number: | 8173100877 |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 15706 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |