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NPI Code Detail

MEDICARE: MELANIE A. TRIMBLE

MEDICARE:   MELANIE A. TRIMBLE
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor5199SC

General Provider Information

NPI Number : 1811040777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE A. TRIMBLE
Provider Business Mailing Address
First Line : 4109 BEECLIFF DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29205-4228
Country : US
Telephone Number : 803-466-0972
Fax Number :
Provider Business Practice Location Address
First Line : 1821 PICKENS ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2630
Country : US
Telephone Number : 803-466-0972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 02/15/2011

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Directions to “ MELANIE A. TRIMBLE ” Practice Location

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