Provider Demographics
NPI:1033428230
Name:SCARAMUZZO, MELISSA (LPC, MHA)
Entity type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:
Last Name:SCARAMUZZO
Suffix:
Gender:F
Credentials:LPC, MHA
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, MHA
Mailing Address - Street 1:618 NW HEMLOCK AVE UNIT 429
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-0803
Mailing Address - Country:US
Mailing Address - Phone:541-321-0713
Mailing Address - Fax:
Practice Address - Street 1:1622 W ANTLER AVE UNIT 4
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2396
Practice Address - Country:US
Practice Address - Phone:541-321-0713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2768101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional