Provider Demographics
NPI:1154484509
Name:ZHISS, MELISSA HAYES (LPA)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:HAYES
Last Name:ZHISS
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 E. 4TH STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202
Mailing Address - Country:US
Mailing Address - Phone:704-336-8539
Mailing Address - Fax:704-432-2408
Practice Address - Street 1:720 E 4TH STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202
Practice Address - Country:US
Practice Address - Phone:704-336-8539
Practice Address - Fax:704-432-2408
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2444103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist