Provider Demographics
NPI:1306608039
Name:MALONE, CELYND NOEL (LCMHCA, NCC)
Entity type:Individual
Prefix:MS
First Name:CELYND
Middle Name:NOEL
Last Name:MALONE
Suffix:
Gender:F
Credentials:LCMHCA, NCC
Other - Prefix:
Other - First Name:CELYND
Other - Middle Name:NOEL
Other - Last Name:MCCLIMANS SCAGLIONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1816 FRONT ST STE 250
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2598
Mailing Address - Country:US
Mailing Address - Phone:803-360-0621
Mailing Address - Fax:
Practice Address - Street 1:1816 FRONT ST STE 250
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2598
Practice Address - Country:US
Practice Address - Phone:803-360-0621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19641101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health