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Miss Faye Jean Mellard, LMT,NMT
Massage Therapist in Lawrenceville, Georgia
NPI 1932617503

Faye Jean Mellard is a Massage Therapist based in Lawrenceville, GA. Faye Jean Mellard practices in Lawrenceville, GA and has the professional credentials of LMT,NMT. The NPI Number for Faye Jean Mellard is 1932617503 and holds a License No. (Georgia).

The current practice location address for Faye Jean Mellard is 237 Scenic Hwy, Lawrenceville, GA and can be reached out via phone at 404-731-1735. You can also correspond with Faye Jean Mellard through the mailing address at 158 PAPER MILL RD APT 4103, LAWRENCEVILLE, GA - 30046-5345 (mailing address contact number: 404-645-1263).

Location: 237 Scenic Hwy, Lawrenceville, GA, 30046-5345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932617503
Provider Name
Faye Jean Mellard
Credential
LMT,NMT
Provider Entity Type
Individual
Gender
Female
Address
237 Scenic Hwy, Lawrenceville, GA, 30046-5345
Phone Number
404-731-1735
Fax Number
Provider Enumeration Date
01/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
237 Scenic Hwy
City
Lawrenceville
State
Georgia
Zip
30046-5621
Phone Number
404-731-1735
Fax Number
person
Provider Business Mailing Address Details
Address
158 Paper Mill Rd Apt 4103
City
Lawrenceville
State
Georgia
Zip
30046-5345
Phone Number
404-645-1263
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MT004030 (Georgia)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
(Georgia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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