Most Relevant Information
Provider Data
| NPI Number: | 1003642315 |
| Provider Name: | MELISSA FAY LIVELY LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 0701013752 |
Most Important Dates
| Enumeration Date: | 09/12/2024 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
930 CAMBRIA ST NE
CHRISTIANSBURG
VA
240731631
Practice Location Phone/Fax
| Phone: | 5405993015 |
| Fax: |
Provider Mailing Location
514 EGGLESTON RD
PEMBROKE
VA
241363148
Provider Mailing Phone/Fax
| Phone: | 5405993015 |
| Fax: |