Provider Demographics
NPI:1053066670
Name:RODRIGUEZ GALEANO, MELANY (MA, LPC, LCMHC)
Entity Type:Individual
Prefix:
First Name:MELANY
Middle Name:
Last Name:RODRIGUEZ GALEANO
Suffix:
Gender:F
Credentials:MA, LPC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CARRIAGE LN
Mailing Address - Street 2:BUILDING E, SUITE 202
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-5865
Mailing Address - Country:US
Mailing Address - Phone:843-256-4327
Mailing Address - Fax:
Practice Address - Street 1:1 CARRIAGE LN
Practice Address - Street 2:BUILDING E, SUITE 202
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5865
Practice Address - Country:US
Practice Address - Phone:843-256-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9321101YP2500X, 101Y00000X
SC7868101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor