Provider Demographics
NPI:1497644132
Name:ABERLE GUY, MELISSA KAY (BA)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:KAY
Last Name:ABERLE GUY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8161 HEATHERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-5620
Mailing Address - Country:US
Mailing Address - Phone:901-395-9570
Mailing Address - Fax:
Practice Address - Street 1:8161 HEATHERSTONE DR
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-5620
Practice Address - Country:US
Practice Address - Phone:901-395-9570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty