MELISSA S DAUGHERTY
NPI 1114682077
Counselor - Mental Health in Bloomington, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since November 05, 2021

108 W MARKET ST, BLOOMINGTON, IL 61701(309) 827-5351 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Melissa S Daugherty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA S DAUGHERTY (NPI 1114682077) is an individual mental health provider in Bloomington, Illinois and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1114682077

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMELISSA S DAUGHERTY

Location Address108 W MARKET STBloomington, IL 61701-3918

Mailing Address108 W Market StBloomington, IL 61701-3918 · (309) 827-5351

Phone(309) 827-5351

Sole ProprietorYes

Enumeration DateNovember 5, 2021

NPPES CertifiedNovember 5, 2021

✔ NPI 1114682077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

108 W MARKET ST, Bloomington, IL 61701

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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.

DONALD NARDI TAYLOR

Counselor (Professional)