Provider Demographics
NPI:1144459355
Name:MELANIE STERLING & ASSOC LLC
Entity type:Organization
Organization Name:MELANIE STERLING & ASSOC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:STERLING
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:501-230-9156
Mailing Address - Street 1:2796 S 2ND ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-7020
Mailing Address - Country:US
Mailing Address - Phone:501-286-6086
Mailing Address - Fax:501-286-6046
Practice Address - Street 1:2796 S 2ND ST
Practice Address - Street 2:SUITE E
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-7020
Practice Address - Country:US
Practice Address - Phone:501-286-6086
Practice Address - Fax:501-286-6046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-09
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR157864741Medicaid