Provider Demographics
NPI:1033939699
Name:MELNICK, ANNE (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MELNICK
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:YARROLL-MELNICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-ASSOCIATE
Mailing Address - Street 1:2705 ROLLING MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-6897
Mailing Address - Country:US
Mailing Address - Phone:619-248-1929
Mailing Address - Fax:
Practice Address - Street 1:2862 N BELT LINE RD
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9388
Practice Address - Country:US
Practice Address - Phone:214-449-0812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93543101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health