Provider Demographics
NPI:1124302948
Name:LITCHFIELD, MELISSA MORGAN (LPC PHD)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:MORGAN
Last Name:LITCHFIELD
Suffix:
Gender:F
Credentials:LPC PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:361 TOWNE CENTER PL
Mailing Address - Street 2:STE 1300
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-4869
Mailing Address - Country:US
Mailing Address - Phone:601-977-9353
Mailing Address - Fax:601-977-9422
Practice Address - Street 1:361 TOWNE CENTER PL
Practice Address - Street 2:STE 1300
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-4869
Practice Address - Country:US
Practice Address - Phone:601-977-9353
Practice Address - Fax:601-977-9422
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1589101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional