Provider Demographics
NPI:1063967354
Name:MCFALL, MELISSA (LMHC, ATR-BC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:MCFALL
Suffix:
Gender:F
Credentials:LMHC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 GRANBY DR STE E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46229-2892
Mailing Address - Country:US
Mailing Address - Phone:317-954-8657
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:104 GRANBY DR STE E
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-2892
Practice Address - Country:US
Practice Address - Phone:317-954-8657
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2016-08-17
Last Update Date:2025-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002860A104100000X, 101YM0800X
221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist