| Melcolm Mental Health Services, Pllc | |
|
4110 Osceola Trl Middleburg FL 32068-7149 | |
| (904) 502-9883 | |
| Not Available |
| Full Name | Melcolm Mental Health Services, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4110 Osceola Trl, Middleburg, Florida |
| Authorized Official Name and Position | Tabatha Melcolm (OWNER) |
| Authorized Official Contact | 9045029883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melcolm Mental Health Services, Pllc 4110 Osceola Trl Middleburg FL 32068-7149 Ph: (904) 502-9883 | Melcolm Mental Health Services, Pllc 4110 Osceola Trl Middleburg FL 32068-7149 Ph: (904) 502-9883 |
| NPI Number | 1396509865 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396509865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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