MISS MELANIE LAURELLE BAZILLION LADC 2
NPI 1619608288
Counselor - Addiction (Substance Use Disorder) in Pembroke, MA

Active since June 23, 2022
133 MOUNTAIN AVE, PEMBROKE, MA 02359(978) 727-5720 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Melanie Laurelle Bazillion Ladc 2 NPPES

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

MISS MELANIE LAURELLE BAZILLION LADC 2 (NPI 1619608288) is an individual addiction (substance use disorder) provider in Pembroke, Massachusetts and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1619608288
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS MELANIE LAURELLE BAZILLIONCredential: LADC 2
Location Address133 MOUNTAIN AVEPembroke, MA 02359-2639
Mailing Address133 Mountain AvePembroke, MA 02359-2639 · (978) 727-5720
Sole ProprietorYes
Enumeration DateJune 23, 2022
Last NPPES UpdateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
NPI 1619608288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
133 MOUNTAIN AVE, Pembroke, MA 02359

Other Identifiers 1

Medicaid84-3882353MA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Bazillion's NPI number?

The NPI number for Melanie Bazillion is 1619608288. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Melanie Bazillion located?

Melanie Bazillion practices at 133 Mountain Ave, Pembroke, MA 02359. The listed phone number is (978) 727-5720.

What is Melanie Bazillion's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Melanie Bazillion was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.