Provider Demographics
NPI:1699493890
Name:MELISSA CULVER COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:MELISSA CULVER COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:H
Authorized Official - Last Name:CULVER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCMHC, LADC
Authorized Official - Phone:802-662-3767
Mailing Address - Street 1:PO BOX 8210
Mailing Address - Street 2:
Mailing Address - City:ESSEX JCT
Mailing Address - State:VT
Mailing Address - Zip Code:05451
Mailing Address - Country:US
Mailing Address - Phone:802-662-3767
Mailing Address - Fax:
Practice Address - Street 1:21 BUTTERNUT CT
Practice Address - Street 2:
Practice Address - City:ESSEX JCT
Practice Address - State:VT
Practice Address - Zip Code:05452-3961
Practice Address - Country:US
Practice Address - Phone:802-662-3767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1017216Medicaid