Provider Demographics
NPI:1386299485
Name:COURTRIGHT WILCOX, MELINA DAWN (LPC)
Entity type:Individual
Prefix:
First Name:MELINA
Middle Name:DAWN
Last Name:COURTRIGHT WILCOX
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MELINA
Other - Middle Name:
Other - Last Name:COURTRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2300 GREEN OAK DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2048
Mailing Address - Country:US
Mailing Address - Phone:281-854-8188
Mailing Address - Fax:
Practice Address - Street 1:2940 OAK ST
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5525
Practice Address - Country:US
Practice Address - Phone:281-854-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-06
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84673101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional