Sisco, Melissa M

Sisco, Melissa M is an individual health care provider with primary practice located at 6858 Swinnea Rd Bldg 4 , Southaven MS 38671-9493. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sisco, Melissa M can be contacted via phone (662) 772-5937.

Contact Information

Primary practice address
6858 Swinnea Rd Bldg 4 Southaven MS 38671-9493
Phone: (662) 772-5937
Fax: (662) 772-5940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC0000000571 Tennessee

Profile Details

NPI number 1700830122
LBN Legal business name Sisco, Melissa M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 24th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700830122 NPPES
Tennessee Other 4121026 BCBS OF TN PROVIDER #
Tennessee Other 252567000 BCBS OF TN PROVIDER #

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