Provider Demographics
NPI:1285950840
Name:BARNETT, MELISSA (LMFT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 QUAIL SPRINGS PKWY FL 5
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2640
Mailing Address - Country:US
Mailing Address - Phone:405-631-0919
Mailing Address - Fax:405-636-0518
Practice Address - Street 1:4301 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3411
Practice Address - Country:US
Practice Address - Phone:405-631-0919
Practice Address - Fax:405-636-0518
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLMFT00965106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist