MELISSA LAYNE TAVAKOLDAVANI LPC NPI 1427306828

NPI Information

  • NPI: 1427306828
  • Provider Name: MELISSA LAYNE TAVAKOLDAVANI, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5751 KROGER DR
    SUITE 269
    FORT WORTH, TX
    ZIP 76244
  • Phone: (817) 812-2880

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NPI Details

Melissa Layne Tavakoldavani, LPC is a mental health counselor in Fort Worth, TX. Melissa Layne Tavakoldavani, LPC NPI is 1427306828. 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:

5751 KROGER DR
SUITE 269
FORT WORTH, TX
ZIP 76244-632
Phone: (817) 812-2880

The NPI 1427306828 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 8/16/2012 and was last updated on 8/16/2012.

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 Health65472TEXASYes

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: 3/30/2025

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