Melissa M Sisco is a Professional in Southaven, Mississippi. Melissa M Sisco practices all healthcare services and medical treatments related to Professional. The NPI Number for Melissa M Sisco is 1700830122. The last update date is 2019-07-24.
Melissa M Sisco's current location address is 6858 Swinnea Rd Bldg 4, Southaven, Mississippi. You can contact this provider via phone number 6627725937 and fax number 6627725940. The mailing address for Melissa M Sisco is 6858 Swinnea Rd Bldg 4, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa M Sisco |
|---|---|
| Address | 6858 Swinnea Rd Bldg 4, Southaven, Mississippi |
| Phone Number | 6627725937 |
| Fax Number | 6627725940 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1700830122 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2019-07-24 |
Provider Mailing Address Detail
| Address | 6858 Swinnea Rd Bldg 4 |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386719493 |
| Phone Number | 6627725937 |
| Fax Number | 6627725940 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC000000057 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4121026 | TN | BCBS OF TN PROVIDER # | |
| 252567000 | TN | MAGELLAN |
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What is the unique 10-digit identifier code issued to Melissa M Sisco by the Centers for Medicare & Medicaid Services?
The Melissa M Sisco has been assigned the NPI (National Provider Identifier) 1700830122 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Melissa M Sisco's physical address?
The Melissa M Sisco is physically located at 6858 Swinnea Rd Bldg 4, in the city of Southaven, MS, with the postal code 386719493.
What is Melissa M Sisco's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Melissa M Sisco is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.
On what date did the Melissa M Sisco receive the assignment of its 1700830122 from the Centers for Medicare & Medicaid Services?
The Melissa M Sisco was issued its 1700830122 by the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information regarding Melissa M Sisco, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Melissa M Sisco, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-07-24.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH