Provider Demographics
NPI:1437342623
Name:COVERT, MELISSA (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:COVERT
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17331 HARBOR WALK DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-5763
Mailing Address - Country:US
Mailing Address - Phone:704-439-6053
Mailing Address - Fax:
Practice Address - Street 1:17331 HARBOR WALK DR
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-5763
Practice Address - Country:US
Practice Address - Phone:704-439-6053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6535101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional