Provider Demographics
NPI:1215695846
Name:DUGIE, MELISSA (LMHC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:DUGIE
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:CRAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8426 CARRIAGE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONTON
Mailing Address - State:FL
Mailing Address - Zip Code:33534-3017
Mailing Address - Country:US
Mailing Address - Phone:863-370-5065
Mailing Address - Fax:
Practice Address - Street 1:926 CYPRESS VILLAGE BLVD STE B
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33573-6831
Practice Address - Country:US
Practice Address - Phone:863-370-5065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19565101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty