Provider Demographics
NPI:1346573466
Name:CULVER, MELISSA (MA, LADC, LCMHC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:CULVER
Suffix:
Gender:F
Credentials:MA, LADC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8210
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:VT
Mailing Address - Zip Code:05451-8210
Mailing Address - Country:US
Mailing Address - Phone:802-662-3767
Mailing Address - Fax:
Practice Address - Street 1:22 ESSEX WAY # 8210
Practice Address - Street 2:
Practice Address - City:ESSEX JCT
Practice Address - State:VT
Practice Address - Zip Code:05451
Practice Address - Country:US
Practice Address - Phone:802-662-3767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT151.0127814101YA0400X
VT068.0057603101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty