Provider Demographics
NPI:1689352569
Name:MARKY, MELANIE WESTER (LCMHCA)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:WESTER
Last Name:MARKY
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4043 CARNOUSTIE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-4908
Mailing Address - Country:US
Mailing Address - Phone:504-559-3873
Mailing Address - Fax:
Practice Address - Street 1:10590 INDEPENDENCE POINTE PKWY STE 301
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4176
Practice Address - Country:US
Practice Address - Phone:704-804-0810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18810101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health