MELLISSA MCTIZIC MSW
NPI 1720279920
Counselor in Selmer, TN

Q: What is Mellissa Mctizic's NPI number?

The NPI number for Mellissa Mctizic is 1720279920. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Q: What is Mellissa Mctizic's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Mellissa Mctizic was last updated on August 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since August 05, 2007

641 E POPLAR AVE, SELMER, TN 38375(731) 645-5753(731) 645-9885 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mellissa Mctizic Msw NPPES

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

MELLISSA MCTIZIC MSW (NPI 1720279920) is an individual counselor in Selmer, Tennessee and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1720279920

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMELLISSA MCTIZICCredential: MSW

Location Address641 E POPLAR AVESelmer, TN 38375-1828

Mailing Address641 E Poplar AveSelmer, TN 38375-1828 · (731) 645-5753 · Fax (731) 645-9885

Phone(731) 645-5753

Fax(731) 645-9885

Sole ProprietorNo

Enumeration DateAugust 5, 2007

✔ NPI 1720279920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

641 E POPLAR AVE, Selmer, TN 38375

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