Provider Demographics
NPI:1598650012
Name:MELISA MARTINEZ THERAPEUTIC SERVICES PLLC
Entity type:Organization
Organization Name:MELISA MARTINEZ THERAPEUTIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:803-316-0111
Mailing Address - Street 1:300 DECKER DR STE 360
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-8189
Mailing Address - Country:US
Mailing Address - Phone:806-316-0111
Mailing Address - Fax:
Practice Address - Street 1:24345 WILDERNESS OAK APT 1108
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7878
Practice Address - Country:US
Practice Address - Phone:806-316-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)