MRS. TABATHA MELCOLM LMHC NPI 1063922276

NPI Information

  • NPI: 1063922276
  • Provider Name: MRS. TABATHA MELCOLM, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4110 OSCEOLA TRL
    MIDDLEBURG, FL
    ZIP 32068
  • Phone: (904) 502-9883

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NPI Details

MRS. Tabatha Melcolm, LMHC is a mental health counselor in Middleburg, FL with 10 years of experience. MRS. Tabatha Melcolm, LMHC NPI is 1063922276. 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:

4110 OSCEOLA TRL
MIDDLEBURG, FL
ZIP 32068-149
Phone: (904) 502-9883
Fax: (904) 490-9037

The NPI 1063922276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/3/2017 and was last updated on 2/5/2024.

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
1101YM0800XCounselorMental HealthMH16497FLORIDAYes

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: 11/21/2025

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