# MOXIE FAMILY THERAPY, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Moxie Family Therapy, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962006486
- **Authorized official:** MELISSA ANN MELLON LMFT (FOUNDER AND DIRECTOR)
- **Authorized official phone:** (714) 388-6119

## Contact information

- **Practice address:** 17772 IRVINE BLVD STE 209, TUSTIN, CA 92780-3234
- **Practice address phone:** (714) 388-6119
- **Mailing address:** 17772 IRVINE BLVD STE 209, TUSTIN, CA 92780-3234
- **Mailing address phone:** (714) 388-6119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2020
- **Last updated:** 08/17/2022