Provider Demographics
NPI:1902644065
Name:KRECISZ, MELODIE ELIZABETH (NBC-HWC)
Entity type:Individual
Prefix:MRS
First Name:MELODIE
Middle Name:ELIZABETH
Last Name:KRECISZ
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7607 ALCORN RD # HOUSEB
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-9781
Mailing Address - Country:US
Mailing Address - Phone:336-906-8982
Mailing Address - Fax:
Practice Address - Street 1:7607 ALCORN RD
Practice Address - Street 2:HOUSE B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-9781
Practice Address - Country:US
Practice Address - Phone:336-906-8982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach