Provider Demographics
NPI:1023552098
Name:SWITEK, MELISSA MARIE (LCMHC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:SWITEK
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9723 NORTHCROSS CENTER CT STE E
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-7301
Mailing Address - Country:US
Mailing Address - Phone:704-981-2306
Mailing Address - Fax:704-981-2425
Practice Address - Street 1:9723 NORTHCROSS CENTER CT STE E
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7301
Practice Address - Country:US
Practice Address - Phone:704-981-2306
Practice Address - Fax:704-981-2425
Is Sole Proprietor?:No
Enumeration Date:2016-12-11
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12714101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional