Individual
MRS. MELINDA JOHNSON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED
Contact information
Practice address
700 SAINT LANDRY ST, LAFAYETTE, LA 70506
(337) 210-5145
(337) 210-5450
Mailing address
700 SAINT LANDRY ST, LAFAYETTE, LA 70506-4630
(337) 210-5145
(337) 210-5450
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
08/22/2019
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