Provider Demographics
NPI:1902247638
Name:TRICHE, MELISSA MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MICHELLE
Last Name:TRICHE
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:MICHELLE
Other - Last Name:FERGUSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 567491
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31156-7491
Mailing Address - Country:US
Mailing Address - Phone:404-703-2571
Mailing Address - Fax:
Practice Address - Street 1:6700 ROSWELL RD APT 17A
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-2529
Practice Address - Country:US
Practice Address - Phone:404-703-2571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007116101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional