Provider Demographics
NPI:1124298633
Name:NOWLING, MELVIN JAMELL (LPC)
Entity type:Individual
Prefix:MR
First Name:MELVIN
Middle Name:JAMELL
Last Name:NOWLING
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 STONEHENGE DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-8507
Mailing Address - Country:US
Mailing Address - Phone:919-212-7921
Mailing Address - Fax:
Practice Address - Street 1:101 STONEHENGE DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-8507
Practice Address - Country:US
Practice Address - Phone:919-212-7921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6928101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional