Provider Demographics
NPI:1619661188
Name:MELENDEZ, LAURIE ESPINOZA (LPC)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:ESPINOZA
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 FUQUA DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3631
Mailing Address - Country:US
Mailing Address - Phone:214-906-4388
Mailing Address - Fax:
Practice Address - Street 1:1524 FUQUA DR
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3631
Practice Address - Country:US
Practice Address - Phone:214-906-4388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75659101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional