Provider Demographics
NPI:1023735214
Name:MOSELEY, MELANIE (PHD, NCC, LPC)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:MOSELEY
Suffix:
Gender:F
Credentials:PHD, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3422 CHARLOTTE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-3929
Mailing Address - Country:US
Mailing Address - Phone:830-391-0378
Mailing Address - Fax:
Practice Address - Street 1:5337 YORKTOWN BLVD STE 4A2
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-5361
Practice Address - Country:US
Practice Address - Phone:361-257-1845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83822101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional