| Melton Telepsychiatry Services | |
|
6181 Old Millington Rd Millington TN 38053-7439 | |
| (901) 800-9159 | |
| (877) 800-9150 |
| Full Name | Melton Telepsychiatry Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6181 Old Millington Rd, Millington, Tennessee |
| Authorized Official Name and Position | Lashelle Renee Melton (OWNER) |
| Authorized Official Contact | 9012124314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melton Telepsychiatry Services 6181 Old Millington Rd Millington TN 38053-7439 Ph: (901) 800-9159 | Melton Telepsychiatry Services 6181 Old Millington Rd Millington TN 38053-7439 Ph: (901) 800-9159 |
| NPI Number | 1164150751 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 0244604056 |
|---|---|
| Medicare Enrollment ID | O20230317001978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164150751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lashelle Renee Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053878926 PECOS PAC ID: 0143694950 Enrollment ID: I20230317002139 |
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