Provider Demographics
NPI:1033358437
Name:GEE, MELANIE R (MA, LCMHC, NCC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:R
Last Name:GEE
Suffix:
Gender:F
Credentials:MA, LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 DOVE HUNTER CIR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-8170
Mailing Address - Country:US
Mailing Address - Phone:910-489-3885
Mailing Address - Fax:
Practice Address - Street 1:3201 DOVE HUNTER CIR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-8170
Practice Address - Country:US
Practice Address - Phone:910-489-3885
Practice Address - Fax:910-500-5122
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7128101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
12267057OtherCAQH
NC6104148Medicaid
NC7128OtherNCBLPC