MELISSA WEATHERWAX NPI 1366621740

NPI Information

  • NPI: 1366621740
  • Provider Name: MELISSA WEATHERWAX
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1109 JONES ST
    KENNETT, MO
    ZIP 63857
  • Phone: (573) 888-6545

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NPI Details

Melissa Weatherwax is an addiction (substance use disorder) counselor in Kennett, MO. Melissa Weatherwax NPI is 1366621740. 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:

1109 JONES ST
KENNETT, MO
ZIP 63857-824
Phone: (573) 888-6545

The enumeration date for this NPI number is 11/1/2007 and was last updated on 11/1/2007.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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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