Organization
MELANATED MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA NECOLE DESAUSSURE LMFT (OWNER/LMFT)
(407) 961-9863
Entity
Organization
Contact information
Practice address
1630 CALLIE CT, APOPKA, FL 32703-1567
(407) 961-9863
Mailing address
1630 CALLIE CT, APOPKA, FL 32703-1567
(407) 961-9863
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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