MELISSA F DESFORGES (NPI# 1184916827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184916827 |
| Entity Type | Individual |
| Full Name | MELISSA F DESFORGES |
| Credential | LPC, LMFT, RPT |
| Practice Address |
4050 Lonesome Rd Ste A Mandeville LA 70448-7085 |
| Mailing Address |
44137 Forbes Farm Dr Hammond LA 70403-4774 |
| Practice Telephone | 9852462600 |
| Practice Fax Number | 9852462601 |
| Mailing Telephone | 9853733634 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3585 | LA | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
202466 | LA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 1140 | LA | Behavioral Health & Social Service Providers |
| Street Address |
4050 LONESOME RD STE A |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-7085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194179374 | Bianchini- Skaff Copeland LLC | Psychologist | 4050 Lonesome Rd, Suite A, Mandeville, LA 70448-7085 | 2016-04-14 |
| 1154788644 | Melanie Mckee Stevens | Counselor | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2016-01-28 |
| 1568865913 | Christina Stabler | Psychologist | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2014-09-30 |
| 1689077034 | Bianchini-brennan/stabler, LLC | Psychologist | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2014-09-30 |
| 1740539410 | Lifenet | Clinic/Center | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2012-09-10 |
| 1538440052 | Jan E Bruckmeier | Nurse Practitioner | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702345 | Karen Roudkovski | Counselor | 594 Asbury Dr Ste E-10, Mandeville, LA 70471-4101 | 2019-10-24 |
| 1487218244 | Gaye Elizabeth Dupre | Counselor | 543 Montmartre St, Mandeville, LA 70448-2449 | 2019-04-26 |
| 1528532421 | Desislava Georgieva Atlazova | Counselor | 2140 8th St Ste 205, Mandeville, LA 70471-1968 | 2019-01-14 |
| 1053868075 | Northshore Zen | Counselor | 2000 N Causeway Blvd Ste B, Mandeville, LA 70471-3173 | 2016-09-07 |
| 1639531528 | Paulina B Murphy | Counselor | 201 Shaunell Dr, Mandeville, LA 70448-3331 | 2016-03-22 |
| 1346619970 | Mary Emily Matheny Leavell | Counselor | 525 Adair St, Mandeville, LA 70448-5165 | 2015-09-24 |
| 1124307863 | Leah Rosa | Counselor | 1 Sanctuary Blvd, Suite 306, Mandeville, LA 70471-3305 | 2011-08-11 |
| 1336385053 | Ann Vuncannon Allen | Counselor | 1150 W Causeway Approach, Ste. A, Mandeville, LA 70471-3038 | 2008-12-30 |
| 1225159205 | Constance Evans Romero | Counselor | 800 Jackson Ave, Mandeville, LA 70448 | 2007-04-03 |
| 1407978455 | Brian Robert Mcnulty | Counselor | 706 Kimberly Ann Cir, Mandeville, LA 70471-6732 | 2007-04-03 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
Please comment or provide details below to improve the information on MELISSA F DESFORGES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.