Individual
MS. NIKI MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1512 WILLOW LAWN DR, RICHMOND, VA 23230-3117
(804) 545-5932
(804) 285-9130
Mailing address
PO BOX 6565, RICHMOND, VA 23230-0565
(804) 545-5932
(804) 285-9130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904003311
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008903727
—
VA
Enumeration date
07/06/2006
Last updated
10/12/2011
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