| Doctor Name: | MELODY CELESTE OSBORNE |
| NPI Number: | 1467827790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 72016 |
| Business Practice Address: | 24420 Fm 1314 Ste 15 Porter, TX - 77365 |
| Business Phone Number: | 8322892560 |
| Business Fax Number: | |
| Mailing Address: | 24619 Casselberry Dr, PORTER |
| State: | TX |
| Postal Code: | 77365 |
| Phone Number: | 8322892560 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2015 |
| NPI Last Update Date: | 12/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 72016 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |