Melody Bynum, MA
Counselor, Mental Health in Brusly, LA. Individual provider (NPI-1).
NPI number1497907398
StatusActive
Last updated in NPPESJan 12, 2023
Details
- NPI
- 1497907398
- Entity type
- Individual (NPI-1)
- Name
- Melody Bynum
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2008
- Certification date
- Jan 12, 2023
- Last updated
- Jan 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2100 Ory DrBrusly, LA 70719-2459
Phone 720-476-8898
Mailing address
4610 Viola Farms DrAddis, LA 70710-3104
Phone 225-663-9083
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