Provider Demographics
NPI:1871345736
Name:MELISSA BURNS LCPC LLC
Entity type:Organization
Organization Name:MELISSA BURNS LCPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-407-2577
Mailing Address - Street 1:550 PAPA LN
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-8488
Mailing Address - Country:US
Mailing Address - Phone:406-407-2577
Mailing Address - Fax:
Practice Address - Street 1:690 N MERIDIAN RD STE 213
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3508
Practice Address - Country:US
Practice Address - Phone:406-407-2577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health