Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YS0200X | School Counselor | NC |
NPI | 1184915613 |
---|---|
Provider Name | Mrs. Melody Harris |
First Address | Indian Trail, NC 28079-5375 |
Second Address | Indian Trail, NC 28079-5375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2011 |
Last Update Date | 29/11/2016 |