Provider Demographics
NPI:1538792163
Name:MELNYK, ADRIENNE R
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:R
Last Name:MELNYK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 OVERLAND XING
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-7875
Mailing Address - Country:US
Mailing Address - Phone:404-376-5416
Mailing Address - Fax:
Practice Address - Street 1:1925 OVERLAND XING
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-7875
Practice Address - Country:US
Practice Address - Phone:404-376-5416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst