Provider Demographics
NPI:1447965298
Name:CUMMINGS ALAWINE, MELISSA RAE
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:RAE
Last Name:CUMMINGS ALAWINE
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 1:265 REID RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39443-9637
Mailing Address - Country:US
Mailing Address - Phone:601-422-7786
Mailing Address - Fax:
Practice Address - Street 1:265 REID RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39443-9637
Practice Address - Country:US
Practice Address - Phone:601-422-7786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist