Provider Demographics
NPI:1043348212
Name:CAMPBELL, MELANIE M (MS,NCC)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:M
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MS,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 PARKES AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-3446
Mailing Address - Country:US
Mailing Address - Phone:931-766-5901
Mailing Address - Fax:931-363-3564
Practice Address - Street 1:1002 BRINDLEY DR
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-4705
Practice Address - Country:US
Practice Address - Phone:931-363-5438
Practice Address - Fax:931-363-3564
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health