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Ms. Melodie Anne (or Desanto) Head
Mental Health Counselor in Lilburn, Georgia
NPI 1083819395

Melodie Anne (or Desanto) Head is a Mental Health Counselor based in Lilburn, GA and is specialized in Mental Health. Melodie Anne (or Desanto) Head practices in Lilburn, GA. The NPI Number for Melodie Anne (or Desanto) Head is 1083819395 and holds a License No. (Georgia).

The current practice location address for Melodie Anne (or Desanto) Head is 733 Village Creek Dr Sw, Lilburn, GA and can be reached out via phone at 770-381-1273.

Location: 733 Village Creek Dr Sw, Lilburn, GA, 30047-4160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083819395
Provider Name
Melodie Anne (or Desanto) Head
Credential
Provider Entity Type
Individual
Gender
Female
Address
733 Village Creek Dr Sw, Lilburn, GA, 30047-4160
Phone Number
770-381-1273
Fax Number
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
733 Village Creek Dr Sw
City
Lilburn
State
Georgia
Zip
30047-4160
Phone Number
770-381-1273
Fax Number
person
Provider Business Mailing Address Details
Address
733 Village Creek Dr Sw
City
Lilburn
State
Georgia
Zip
30047-4160
Phone Number
770-381-1273
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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