Provider Demographics
NPI:1609603208
Name:WHITTEN, MELANIE ROGERS (MS, CRC, LCMHC-A)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:ROGERS
Last Name:WHITTEN
Suffix:
Gender:F
Credentials:MS, CRC, LCMHC-A
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:D
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7947 MARINERS POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-8091
Mailing Address - Country:US
Mailing Address - Phone:704-819-3516
Mailing Address - Fax:
Practice Address - Street 1:2765 NESTLE LN
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-8050
Practice Address - Country:US
Practice Address - Phone:704-819-3516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional