| Melissa Estes Lmft | |
|
1225 E River Dr Ste 315 Davenport IA 52803-5774 | |
| (309) 733-7500 | |
| Not Available |
| Full Name | Melissa Estes Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1225 E River Dr Ste 315, Davenport, Iowa |
| Authorized Official Name and Position | Melissa Michelle Estes (OWNER/PROVIDER) |
| Authorized Official Contact | 3097337500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Estes Lmft 1225 E River Dr Ste 315 Davenport IA 52803-5774 Ph: (309) 733-7500 | Melissa Estes Lmft 1225 E River Dr Ste 315 Davenport IA 52803-5774 Ph: (309) 733-7500 |
| NPI Number | 1093582462 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 3274984687 |
|---|---|
| Medicare Enrollment ID | O20240110003211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093582462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Melissa Michelle Estes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851494561 PECOS PAC ID: 9537339205 Enrollment ID: I20240110003535 |
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