Individual
MRS. MELISSA RUTH ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
871 RIDGEWAY LOOP RD STE 200, MEMPHIS, TN 38120-4026
(901) 821-9990
(901) 821-9991
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000004833
TN
Other
Enumeration date
03/22/2022
Last updated
01/08/2025
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