Provider Demographics
NPI:1043076912
Name:MCCLAIN HANOLD, MELISSA (MS, LPC-A, NCC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:MCCLAIN HANOLD
Suffix:
Gender:F
Credentials:MS, LPC-A, NCC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:MCCLAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3368 FOREST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-7517
Mailing Address - Country:US
Mailing Address - Phone:843-408-5715
Mailing Address - Fax:
Practice Address - Street 1:2100 CHARLIE HALL BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5832
Practice Address - Country:US
Practice Address - Phone:843-852-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCOU.8829101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health