Healthcare Provider Details

I. General information

NPI: 1043122138
Provider Name (Legal Business Name): MELISSA MAY LCPC-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 HARLOW ST
BANGOR ME
04401-4952
US

IV. Provider business mailing address

262 HARLOW ST
BANGOR ME
04401-4952
US

V. Phone/Fax

Practice location:
  • Phone: 207-973-3500
  • Fax:
Mailing address:
  • Phone: 207-973-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberXL8989
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: