Melissa Beckman, MFT
Individual provider Active NPI Marriage & Family Therapist · Tyrone, GA
NPI 1144693243 · NPPES record last updated Oct 19, 2022
Key facts
- NPI
- 1144693243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 81114 (CA)
- Practice address
- 145 Vista LN
Tyrone, GA 30290-2619 - Phone
- (216) 280-0175
- NPI assigned
- Nov 11, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F.2100209 | OH | MD | Marriage & Family Therapist |
| 81114 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | F.2100209 | OH | |
| Art Therapist | 221700000X | 18-471 | ||
| Marriage & Family Therapist | 106H00000X | 81114 | CA | Yes |
Addresses
Primary practice location
145 Vista LN
Tyrone, GA 30290-2619
Mailing address
145 Vista LN
Tyrone, GA 30290-2619
Phone (216) 280-0175
Other names
- Melissa Kinches
Other providers in Tyrone, GA
- Charmayne Ashley
- Heaven Lekay Ashworth
- Bahr Holistic Psychiatry LLC
- Bianca Monique Baltazar
- Peter John Bauth
- Jeffrey Thomas Benz
- Best Choice Home Healthcare Agency Atlanta
- Suvrat Jagannivas Bhargave
- Mishaya Bivins
- Joy Theresa Blumberg
All providers in Tyrone, GA · Marriage & Family Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.