Provider Demographics
NPI:1316695232
Name:MELISSA A PEASLEE
Entity type:Organization
Organization Name:MELISSA A PEASLEE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEASLEE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:212-203-5865
Mailing Address - Street 1:337 E 50TH ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-7950
Mailing Address - Country:US
Mailing Address - Phone:212-203-5865
Mailing Address - Fax:
Practice Address - Street 1:337 E 50TH ST APT 2A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7950
Practice Address - Country:US
Practice Address - Phone:212-203-5865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty