Healthcare Provider Details

I. General information

NPI: 1952430563
Provider Name (Legal Business Name): MELISSA SUE NELSON MA, CAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 CHAMBERS CIRCLE RD
WALKER WV
26180
US

IV. Provider business mailing address

225 N HILLS DR
PARKERSBURG WV
26104-9221
US

V. Phone/Fax

Practice location:
  • Phone: 304-679-3309
  • Fax: 304-679-3256
Mailing address:
  • Phone: 304-485-1102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number99-120
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2227
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: