Provider Demographics
NPI:1902463219
Name:MELANIE RABALAIS LPC, PLLC
Entity Type:Organization
Organization Name:MELANIE RABALAIS LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHANGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-937-2832
Mailing Address - Street 1:902 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:LOCKHART
Mailing Address - State:TX
Mailing Address - Zip Code:78644-3230
Mailing Address - Country:US
Mailing Address - Phone:713-305-5619
Mailing Address - Fax:
Practice Address - Street 1:1015 BEECAVE WOODS DR STE 204
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6752
Practice Address - Country:US
Practice Address - Phone:512-937-2832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty