Provider Demographics
NPI:1316644305
Name:MERLOTTI, MEL ANN (LPC)
Entity type:Individual
Prefix:
First Name:MEL
Middle Name:ANN
Last Name:MERLOTTI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CRESTWOOD EXECUTIVE CTR STE 308
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63126-1900
Mailing Address - Country:US
Mailing Address - Phone:314-408-7676
Mailing Address - Fax:314-328-5453
Practice Address - Street 1:50 CRESTWOOD EXECUTIVE CTR STE 308
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-1900
Practice Address - Country:US
Practice Address - Phone:314-408-7676
Practice Address - Fax:314-328-5453
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020011778101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional