Provider Demographics
NPI:1255421780
Name:FIVECOAT, MELISSA SUE (LPC, CADC III, LMHC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:SUE
Last Name:FIVECOAT
Suffix:
Gender:F
Credentials:LPC, CADC III, LMHC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:SUE
Other - Last Name:FIVECOAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MELISSA FIVECOAT-BOR
Mailing Address - Street 1:10315 NE TANASBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-7836
Mailing Address - Country:US
Mailing Address - Phone:800-813-2000
Mailing Address - Fax:
Practice Address - Street 1:10315 NE TANASBOURNE DR
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-7836
Practice Address - Country:US
Practice Address - Phone:800-813-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1959101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional