Individual
MELISSA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCDC
Contact information
Practice address
105 KATHRYN DR, LEWISVILLE, TX 75067-4216
(800) 972-0643
Mailing address
1130 BEAR CREEK PKWY APT 1206, EULESS, TX 76039-5217
(214) 868-8068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11498
LICENSED CHEMICAL DEPENDENCY COUNSELOR
TX
01
—
66805
LICENSED MASTER SOCIAL WORKER
TX
Enumeration date
11/09/2015
Last updated
07/01/2019
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