Individual
MRS. MELANIE KAYE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14014 SULLYFIELD CIR, SUITES A AND B, CHANTILLY, VA 20151-1689
(703) 817-9890
(703) 817-9860
Mailing address
14014 SULLYFIELD CIR, SUITES A AND B, CHANTILLY, VA 20151-1689
(703) 817-9890
(703) 817-9860
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003790
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239528
ANTHEM #/CHANTILLY OFFICE
VA
01
—
239532
ANTHEM #/WOODBRIDGE OFFIC
VA
01
—
7384803
ANTHEM PROVIDER #
VA
Enumeration date
07/24/2006
Last updated
08/24/2007
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