MEDICARE: MELANIE ROGERS WHITTEN MS, CRC, LCMHC-A

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1609603208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE ROGERS WHITTEN MS, CRC, LCMHC-A

Provider Business Mailing Address
First Line	:	7947 MARINERS POINTE CIR
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-8091
Country	:	US
Telephone Number	:	704-819-3516
Fax Number	:

Provider Business Practice Location Address
First Line	:	2765 NESTLE LN
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-8050
Country	:	US
Telephone Number	:	704-819-3516
Fax Number	:

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

Provider Enumeration Date	:	09/17/2024
Last Update Date	:	12/09/2024

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