Provider Demographics
NPI:1316071038
Name:SIMPSON, MELISSA MURRAY (NCC, LPCS, LCAS)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MURRAY
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:NCC, LPCS, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 EMPEROR BLVD
Mailing Address - Street 2:STE. 200
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8577
Mailing Address - Country:US
Mailing Address - Phone:919-651-8685
Mailing Address - Fax:919-651-8685
Practice Address - Street 1:4600 EMPEROR BLVD
Practice Address - Street 2:STE. 200
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8577
Practice Address - Country:US
Practice Address - Phone:919-651-8685
Practice Address - Fax:919-651-8685
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5277101YP2500X
NC1314101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103774Medicaid