Provider Demographics
NPI:1154560928
Name:FLOYD-PICKARD, MELISSA RAYMELLE (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:RAYMELLE
Last Name:FLOYD-PICKARD
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 21141
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27420-1141
Mailing Address - Country:US
Mailing Address - Phone:336-275-7596
Mailing Address - Fax:336-346-1748
Practice Address - Street 1:518 N ELM ST
Practice Address - Street 2:SANCTUARY HOUSE INC
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2018
Practice Address - Country:US
Practice Address - Phone:336-275-7596
Practice Address - Fax:336-346-1748
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0044141041C0700X
NCNCC0044141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007264Medicaid