Provider Demographics
NPI:1194962019
Name:SNAPP, MELISSA WILLIAMS (LPC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:WILLIAMS
Last Name:SNAPP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 DONOVAN PL
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5477
Mailing Address - Country:US
Mailing Address - Phone:704-996-8827
Mailing Address - Fax:
Practice Address - Street 1:2000 W 1ST ST
Practice Address - Street 2:SUITE 510
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-4225
Practice Address - Country:US
Practice Address - Phone:336-293-4169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7275101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional