Doctor Name: | MS. MELISSA WARREM HEATON |
NPI Number: | 1467756122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 57725 |
Business Practice Address: | 616 N Red River St Mexia, TX - 766672452 |
Business Phone Number: | 9038794316 |
Business Fax Number: | |
Mailing Address: | Po Box 456, DAWSON |
State: | TX |
Postal Code: | 766390456 |
Phone Number: | 9038794316 |
Fax Number: | 2545624024 |
NPI Enumeration Date: | 01/10/2011 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 57725 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |