Healthcare Provider Details

I. General information

NPI: 1194267849
Provider Name (Legal Business Name): MELANIE HODOS LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2016
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 JONES RD
FLETCHER NC
28732-8227
US

IV. Provider business mailing address

268 JONES RD
FLETCHER NC
28732-8227
US

V. Phone/Fax

Practice location:
  • Phone: 517-320-0571
  • Fax:
Mailing address:
  • Phone: 517-320-0571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA15122
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: