MEDICARE: MELISSA PATE MSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	25889	SC

General Provider Information

NPI Number	:	1851429823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA PATE MSN

Provider Business Mailing Address
First Line	:	2726 CLYDE STOGNER DR
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-7688
Country	:	US
Telephone Number	:	781-795-9899
Fax Number	:	617-379-0496

Provider Business Practice Location Address
First Line	:	1002 N WOODLAND DR STE B
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-1966
Country	:	US
Telephone Number	:	803-866-3555
Fax Number	:	803-373-8917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	04/04/2026

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Directions to “ MELISSA PATE MSN” Practice Location

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