Provider Demographics
NPI:1720417199
Name:HALFORD, MELINDA MICHELLE (LPCA)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:MICHELLE
Last Name:HALFORD
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:MISS
Other - First Name:MELINDA
Other - Middle Name:MICHELLE
Other - Last Name:GASPERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8707
Mailing Address - Country:US
Mailing Address - Phone:828-651-6290
Mailing Address - Fax:
Practice Address - Street 1:35 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8707
Practice Address - Country:US
Practice Address - Phone:828-651-6290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10402101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional