Provider Demographics
NPI:1154584118
Name:PARKER, MELANIE (LMHC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:CALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 NICHOLS ST UNIT 176
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-7010
Mailing Address - Country:US
Mailing Address - Phone:413-307-0435
Mailing Address - Fax:
Practice Address - Street 1:6 NICHOLS ST UNIT 176
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01473-7010
Practice Address - Country:US
Practice Address - Phone:413-307-0435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8546101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1306421Medicaid
MA1308785Medicaid