Provider Demographics
NPI:1487312450
Name:MCDOWELL, MELINDA (LCMHC, NCC)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:LCMHC, NCC
Other - Prefix:
Other - First Name:MINDY
Other - Middle Name:
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC, NCC
Mailing Address - Street 1:8321 SIX FORKS RD STE 203
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2109
Mailing Address - Country:US
Mailing Address - Phone:508-245-3268
Mailing Address - Fax:
Practice Address - Street 1:8321 SIX FORKS RD STE 203
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2109
Practice Address - Country:US
Practice Address - Phone:508-245-3268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15127101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor