Provider Demographics
NPI:1427689447
Name:MELISSA K. ROLLINS, M.S., LPC, PLLC
Entity type:Organization
Organization Name:MELISSA K. ROLLINS, M.S., LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:361-621-1644
Mailing Address - Street 1:3833 S STAPLES ST STE N202
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5219
Mailing Address - Country:US
Mailing Address - Phone:361-563-9293
Mailing Address - Fax:361-334-0712
Practice Address - Street 1:3833 S STAPLES ST STE N202
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5219
Practice Address - Country:US
Practice Address - Phone:361-563-9293
Practice Address - Fax:361-334-0712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty