Melanie Louise Mailloux, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013962 Issued in MI

Practice address

6020 W Maple Rd Ste 501
West Bloomfield, MI 48322-4409

Phone

(248) 470-7967

Fax

(248) 764-5820

NPI assigned

Sep 7, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1861741647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 DACOSTA ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272535",
            "telephone_number": "313-485-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W MAPLE RD STE 501",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224409",
            "telephone_number": "248-470-7967",
            "fax_number": "248-764-5820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8150 Old 13 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480938711",
            "country_code": "US",
            "telephone_number": "586-558-7472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAILLOUX",
        "first_name": "MELANIE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.