Provider Demographics
NPI:1891518072
Name:MELIUS COUNSELING, LLC
Entity type:Organization
Organization Name:MELIUS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIUS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:573-990-1867
Mailing Address - Street 1:352 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-2743
Mailing Address - Country:US
Mailing Address - Phone:573-990-1867
Mailing Address - Fax:415-481-1867
Practice Address - Street 1:352 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-2743
Practice Address - Country:US
Practice Address - Phone:573-990-1867
Practice Address - Fax:415-481-1867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty