Provider Demographics
NPI:1578375242
Name:MERLINO, MELANIE CHRISTINE (LPC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:CHRISTINE
Last Name:MERLINO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BLACKBERRY LN
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-9250
Mailing Address - Country:US
Mailing Address - Phone:480-215-2151
Mailing Address - Fax:
Practice Address - Street 1:2030 W STATE ROUTE 89A STE B1
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-5407
Practice Address - Country:US
Practice Address - Phone:480-215-2151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-23567101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health