MEDICARE: MELISSA HARRELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1275497497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA HARRELL

Provider Business Mailing Address
First Line	:	2120 E FIRE TOWER RD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-9284
Country	:	US
Telephone Number	:	919-480-2257
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 E FIRE TOWER RD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-9284
Country	:	US
Telephone Number	:	919-480-2257
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/14/2025

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Directions to “ MELISSA HARRELL ” Practice Location

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