MEDICARE: CLAUDIA MELTON, INC

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	101Y00000X	Counselor	3333	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962864983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAUDIA MELTON, INC

Provider Business Mailing Address
First Line	:	117 W WHITE DR
Second Line	:
City	:	ARCHDALE
State	:	NC
Zip	:	27263-2853
Country	:	US
Telephone Number	:	336-848-1999
Fax Number	:	336-949-5885

Provider Business Practice Location Address
First Line	:	117 W WHITE DR
Second Line	:
City	:	ARCHDALE
State	:	NC
Zip	:	27263-2853
Country	:	US
Telephone Number	:	336-848-1999
Fax Number	:	336-949-5885

Authorized Official
Title or Position	:	OWNER/THERAPSIT
Name	:	MRS. CLAUDIA BALLENGER MELTON
Credential	:	MS/EDS, LPC
Telephone Number	:	336-848-1999

Provider Enumeration Date	:	03/28/2016
Last Update Date	:	03/28/2016

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Directions to “CLAUDIA MELTON, INC ” Practice Location

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