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General NPI Number Information
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NPI Number | 1336069608
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Entity Type | Individual
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Provider Name | MELISSA MELROY LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 630 CHESTNUT RD
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City | MYRTLE BEACH
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State | SC
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Zip | 29572-5502
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Country | US
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Telephone | 484-366-5189
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Fax |
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Provider Business Mailing Address
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Address Line | 505 RIVER RD
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City | CONWAY
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State | SC
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Zip | 29526-7934
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Country | US
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Telephone |
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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 | 15356
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License Number State | SC
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