Individual provider · Type 1 NPI

Melana Ivie

Professional Counselor · Broken Arrow, OK

NPI number 1285154377 Active

Practice location

4416 W Houston St
Broken Arrow, OK 74012-4645

Call (918) 288-0027 Map

Other practice locations

  • 324 E Chestnut St, Coweta, OK 74429-2532 · (918) 279-6565

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500X10251 (OK)
Mental Health Counselor 101YM0800X10251 (OK)

Professional Counselor: Definition to come...

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About NPI 1285154377

Melana Ivie's National Provider Identifier is 1285154377, issued on Jun 21, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 23, 2024.