Provider Demographics
NPI:1861389264
Name:MARQUES, MELISSA NICOLE (LMHC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:NICOLE
Last Name:MARQUES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 1ST AVE NW # NQ
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-2713
Mailing Address - Country:US
Mailing Address - Phone:239-595-8736
Mailing Address - Fax:
Practice Address - Street 1:4723 NW 53RD AVE STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-4804
Practice Address - Country:US
Practice Address - Phone:352-235-9006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2594101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health