Head, Melodie Anne (Or Desanto)

Head, Melodie Anne (Or Desanto) is an individual health care provider with primary practice located at 733 Village Creek Dr Sw , Lilburn GA 30047-4160. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Head, Melodie Anne (Or Desanto) can be contacted via phone (770) 381-1273.

Contact Information

Primary practice address
733 Village Creek Dr Sw Lilburn GA 30047-4160
Phone: (770) 381-1273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1083819395
LBN Legal business name Head, Melodie Anne (Or Desanto)
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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