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NPI Code Detail

MEDICARE: MS. MELISSA RALEY CATOE LMSW, CAC

MEDICARE: MS. MELISSA RALEY CATOE LMSW, CAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor9114SC
21041C0700XClinical Social Worker9114SC

General Provider Information

NPI Number : 1356636724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA RALEY CATOE LMSW, CAC
Provider Business Mailing Address
First Line : 172 ARCADIA SPRINGS CIR
Second Line :
City : COLUMBIA
State : SC
Zip : 29206-1370
Country : US
Telephone Number : 803-726-9326
Fax Number : 803-726-9403
Provider Business Practice Location Address
First Line : 1068 S LAKE DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-3720
Country : US
Telephone Number : 803-726-9326
Fax Number : 804-726-9340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2011
Last Update Date : 06/14/2011

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