Provider Demographics
NPI:1578109443
Name:MCCURRY, MELISSA LANCASTER (LCAS-A)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:LANCASTER
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12201 LOCKHART LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-9406
Mailing Address - Country:US
Mailing Address - Phone:919-422-8704
Mailing Address - Fax:
Practice Address - Street 1:12201 LOCKHART LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-9406
Practice Address - Country:US
Practice Address - Phone:919-422-8704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-26
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15762101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health