Provider Demographics
NPI:1083595995
Name:MELISSA SIPOLT, MA, LMFT
Entity type:Organization
Organization Name:MELISSA SIPOLT, MA, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE FAMILY THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:SIPOLT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:808-688-4228
Mailing Address - Street 1:91-0972 PUEPUE ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6859
Mailing Address - Country:US
Mailing Address - Phone:808-688-4228
Mailing Address - Fax:808-260-9880
Practice Address - Street 1:91-0972 PUEPUE ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-6859
Practice Address - Country:US
Practice Address - Phone:808-688-4228
Practice Address - Fax:808-260-9880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty