| Doctor Name: | MELISSA FORTE |
| NPI Number: | 1124485115 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 300175 |
| Business Practice Address: | 1138 N Main St Algonquin, IL - 601023482 |
| Business Phone Number: | 8476584224 |
| Business Fax Number: | |
| Mailing Address: | 1353 Ivy Ln, Apt. 104 NAPERVILLE |
| State: | IL |
| Postal Code: | 605634105 |
| Phone Number: | 6304563720 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2016 |
| NPI Last Update Date: | 01/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 300175 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |