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Melanie Ellen Blackwell, MA,LMHC,NCC

Counselor, Mental Health in Orlando, FL. Individual provider (NPI-1).

NPI number1063545192
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1063545192
Entity type
Individual (NPI-1)
Name
Melanie Ellen Blackwell
Credential
MA,LMHC,NCC
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 14, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH 4457FLYes

Practice location

800 N Ferncreek Ave
Orlando, FL 32803-4127

Phone 407-895-1155 · Fax 407-898-9321

Mailing address

800 N Ferncreek Ave
Orlando, FL 32803-4127

Phone 407-895-1155 · Fax 407-898-9321

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