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General NPI Number Information
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NPI Number | 1043787690
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Entity Type | Individual
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Provider Name | MELISSA H CASSTEVENS MS, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 6255 TOWNCENTER DR UNIT 1698
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City | CLEMMONS
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State | NC
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Zip | 27012-9376
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Country | US
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Telephone | 336-569-4340
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 114
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City | STATE ROAD
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State | NC
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Zip | 28676-0114
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Country | US
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Telephone | 336-569-4340
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A14367
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A14367
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License Number State | NC
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