Provider Demographics
NPI:1720897648
Name:HOLDEN, MELODY
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELODY
Other - Middle Name:
Other - Last Name:MCLAUCHLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSWA, LCSWA
Mailing Address - Street 1:418 PERSON ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5886
Mailing Address - Country:US
Mailing Address - Phone:910-627-7436
Mailing Address - Fax:
Practice Address - Street 1:418 PERSON ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5886
Practice Address - Country:US
Practice Address - Phone:910-627-7436
Practice Address - Fax:910-483-1720
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0210831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical