Provider Demographics
NPI:1154788644
Name:STEVENS, MELANIE MCKEE (LPC)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:MCKEE
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:MCKEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:57340 COMPANY RD
Mailing Address - Street 2:
Mailing Address - City:LORANGER
Mailing Address - State:LA
Mailing Address - Zip Code:70446
Mailing Address - Country:US
Mailing Address - Phone:985-323-6797
Mailing Address - Fax:504-780-1705
Practice Address - Street 1:408 EAST OLIVE STREET
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422
Practice Address - Country:US
Practice Address - Phone:985-323-6797
Practice Address - Fax:985-246-2601
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-28
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC 5297101YP2500X
LA5219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional