Organization
WELLPOINTE THERAPY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELODY NICHOLE MICKENS PHD (OWNER)
(385) 425-5487
Entity
Organization
Contact information
Practice address
1806 SUMMIT AVE, RICHMOND, VA 23230-4339
(385) 425-5487
Mailing address
6975 S UNION PARK CTR STE 600, COTTONWOOD HEIGHTS, UT 84047-4187
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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