Individual
MELISSA MARIE LOPEZ-SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, DOULA
Contact information
Practice address
4367 CALLE AMARILLA, LAS CRUCES, NM 88011-1823
(575) 520-0795
Mailing address
4367 CALLE AMARILLA, LAS CRUCES, NM 88011-1823
(575) 520-0795
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
NM
374J00000X
Doula
Primary
0013-2025
NM
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
11/19/2021
Last updated
04/30/2025
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