Provider Demographics
NPI:1477708808
Name:MELISSA C. STEBICK, MARRIAGE AND FAMILY THERAPIST, LLC
Entity Type:Organization
Organization Name:MELISSA C. STEBICK, MARRIAGE AND FAMILY THERAPIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEBICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-830-8627
Mailing Address - Street 1:8392 SIX FORKS RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3061
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8392 SIX FORKS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3061
Practice Address - Country:US
Practice Address - Phone:919-830-6827
Practice Address - Fax:919-870-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health