Melodie Back, LMHC
Counselor, Mental Health in Flushing, NY. Individual provider (NPI-1).
NPI number1952858920
StatusActive
Last updated in NPPESNov 4, 2025
Details
- NPI
- 1952858920
- Entity type
- Individual (NPI-1)
- Name
- Melodie Back
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2016
- Certification date
- Nov 4, 2025
- Last updated
- Nov 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 008743 | NY | Yes |
Practice location
9701 Northern BlvdFlushing, NY 11368-1043
Phone 718-765-6053 · Fax 347-706-3810
Mailing address
Po Box 746087Atlanta, GA 30374-6087
Phone 312-733-9730
Other practice locations
10504 Sutphin Blvd
Jamaica, NY 11435-5022
Jamaica, NY 11435-5022
Phone 844-400-1975
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