Provider Demographics
NPI:1427861681
Name:MELISSA BEAIRD
Entity type:Organization
Organization Name:MELISSA BEAIRD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-370-4191
Mailing Address - Street 1:3822 BAINBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35210-2179
Mailing Address - Country:US
Mailing Address - Phone:205-370-4191
Mailing Address - Fax:
Practice Address - Street 1:1025 MONTGOMERY HWY STE 214
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-2830
Practice Address - Country:US
Practice Address - Phone:205-370-4191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty