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MELISSA K WALLER MS LAPC NBCC NPI 1548915457


NPI Information

NPI: 1548915457
Provider Name: MELISSA K WALLER, MS, LAPC, NBCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
915 TUXWORTH CIR
DECATUR, GA
ZIP 30033
Phone: (810) 955-2280
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Melissa K Waller, MS, LAPC, NBCC is a professional counselor in Decatur, GA. Melissa K Waller, MS, LAPC, NBCC NPI is 1548915457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

915 TUXWORTH CIR
DECATUR, GA
ZIP 30033-626
Phone: (810) 955-2280

The enumeration date for this NPI number is 2/18/2022 and was last updated on 2/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorGEORGIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)GEORGIANo
3101YM0800XCounselorMental HealthGEORGIANo
4101YP2500XCounselorProfessionalGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.