Provider Demographics
NPI:1538879085
Name:SAUNDERS, MELISA (LMHCA, NCC)
Entity type:Individual
Prefix:
First Name:MELISA
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LMHCA, NCC
Other - Prefix:
Other - First Name:MELISA
Other - Middle Name:
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:214 4TH ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47932-1222
Mailing Address - Country:US
Mailing Address - Phone:765-585-5060
Mailing Address - Fax:
Practice Address - Street 1:214 4TH ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:IN
Practice Address - Zip Code:47932-1222
Practice Address - Country:US
Practice Address - Phone:765-585-5060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001713A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health