Melanated Mental Health, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MELANATED MENTAL HEALTH, LLC

Practice address

1630 Callie CT
Apopka, FL 32703-1567

Phone

(407) 961-9863

NPI assigned

Jan 31, 2022

Last updated

Jan 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica Necole Desaussure, LMFTNPI 1669864427

Title

Owner/LMFT

Phone

(407) 961-9863

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Necole Desaussure, M.S.

  • Marriage & Family Therapist
  • Apopka, FL
  • NPI 1669864427
  NPD Authorized official

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1891448783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CALLIE CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031567",
            "telephone_number": "407-961-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CALLIE CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031567",
            "telephone_number": "407-961-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANATED MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "DESAUSSURE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "NECOLE",
        "authorized_official_title_or_position": "OWNER/LMFT",
        "authorized_official_telephone_number": "407-961-9863",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Risk Solutions (MHO-City of Apopka EHC)
• Medimax Diagnostic Services, Inc.
• Medipro Health LLC
• Medipro Home Care Services LLC (None at this time)
• Luis Eduardo Mejia, MD
• Lauren Melendez, RDN, LDN
• Olga Melnik
• Mending Pieces Consulting LLC
• Hermas Jovanny Mendoza
• Christopher Luis Mercado Cardona, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Apopka, FL
• Providers in Apopka, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.