ENA MELTON-MYERS LPC
NPI 1093151235
Counselor - Mental Health in Tifton, GA
Active since May 15, 2013
About Ena Melton-myers Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENA MELTON-MYERS LPC (NPI 1093151235) is an individual mental health provider in Tifton, Georgia, licensed in Georgia (LPC012734) and active in the NPI registry since May 2013.
NPPES Registry Identity
NPI1093151235
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameENA MELTON-MYERSCredential: LPC
Location Address334 TIFTON ELDORADO RDTifton, GA 31794-9497
Mailing Address3120 N Oak Street Ext Ste CValdosta, GA 31602-5910 · (229) 391-2301
Phone(229) 391-2301
Fax(229) 386-3991
Sole ProprietorNo
Enumeration DateMay 15, 2013
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
✔ NPI 1093151235 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in GA · LPC012734✔ Licensed in WA · MC 60339367
334 TIFTON ELDORADO RD, Tifton, GA 31794
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
334 TIFTON ELDORADO RD
TIFTON, GA 31794
TIFTON, GA 31794
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093151235, enumerated as an "individual" on May 15, 2013.
The provider is located at 334 TIFTON ELDORADO RD TIFTON, GA 31794 and the phone number is (229) 391-2301.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.