Provider Demographics
NPI:1447648803
Name:BARAJAS, MELISSA CHASE
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:CHASE
Last Name:BARAJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3028 HALTOM RD
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76117-3948
Mailing Address - Country:US
Mailing Address - Phone:817-614-8454
Mailing Address - Fax:
Practice Address - Street 1:5424 RUFE SNOW DR STE 304
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6686
Practice Address - Country:US
Practice Address - Phone:817-576-2447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-07
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool