Provider Demographics
NPI:1215108097
Name:GARNER, MELISSA (MA COUNSELING)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:GARNER
Suffix:
Gender:F
Credentials:MA COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 HIGHWAY 65 N
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:AR
Mailing Address - Zip Code:72650-7863
Mailing Address - Country:US
Mailing Address - Phone:870-291-2625
Mailing Address - Fax:
Practice Address - Street 1:316 HIGHWAY 65 N
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:AR
Practice Address - Zip Code:72650-7863
Practice Address - Country:US
Practice Address - Phone:870-448-4727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional