Provider Demographics
NPI:1154185379
Name:MELINDA KING LPCMH LLC
Entity type:Organization
Organization Name:MELINDA KING LPCMH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-535-2620
Mailing Address - Street 1:4799 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-1498
Mailing Address - Country:US
Mailing Address - Phone:302-535-2620
Mailing Address - Fax:302-269-3958
Practice Address - Street 1:57 SAULSBURY RD STE D
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3472
Practice Address - Country:US
Practice Address - Phone:302-336-8019
Practice Address - Fax:302-269-3958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily