Provider Demographics
NPI:1063001964
Name:PILARSKI, MELISSA RENEE (MA, MFTC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:RENEE
Last Name:PILARSKI
Suffix:
Gender:F
Credentials:MA, MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 ROCKY MOUNTAIN AVE UNIT 212
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8847
Mailing Address - Country:US
Mailing Address - Phone:720-388-2361
Mailing Address - Fax:
Practice Address - Street 1:7651 W 41ST AVE
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4565
Practice Address - Country:US
Practice Address - Phone:303-682-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014075103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling