Provider Demographics
NPI:1487894424
Name:CATLETT, MELISSA J (LSW)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:J
Last Name:CATLETT
Suffix:
Gender:F
Credentials:LSW
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 223
Mailing Address - Street 2:
Mailing Address - City:DONALDSON
Mailing Address - State:AR
Mailing Address - Zip Code:71941-0223
Mailing Address - Country:US
Mailing Address - Phone:501-384-5469
Mailing Address - Fax:501-623-8237
Practice Address - Street 1:1910 ALBERT PIKE RD
Practice Address - Street 2:SUITE G & H
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4011
Practice Address - Country:US
Practice Address - Phone:501-623-8520
Practice Address - Fax:501-623-8237
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2704-B104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker