MELISSA M SISCO LPC NPI 1700830122

NPI Information

NPI: 1700830122
Provider Name: MELISSA M SISCO, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6858 SWINNEA RD BLDG 4
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 772-5937
Get Directions

Melissa M Sisco, LPC is a professional counselor in Southaven, MS. Melissa M Sisco, LPC NPI is 1700830122. 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:

6858 SWINNEA RD BLDG 4
SOUTHAVEN, MS
ZIP 38671-493
Phone: (662) 772-5937
Fax: (662) 772-5940

The enumeration date for this NPI number is 5/20/2006 and was last updated on 7/24/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC0000000571	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4121026	OTHER	TENNESSEE	BCBS OF TN PROVIDER #
2	252567000	OTHER	TENNESSEE	MAGELLAN

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: 11/14/2023

NPI Synchronization or Removal

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