Provider Demographics
NPI:1871837807
Name:WESTHART, MELANIE ANNE (LMSW)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:ANNE
Last Name:WESTHART
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:ANNE
Other - Last Name:SARGENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2715 COLONIAL DR
Mailing Address - Street 2:100A
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6818
Mailing Address - Country:US
Mailing Address - Phone:512-529-7968
Mailing Address - Fax:
Practice Address - Street 1:301 GEMSTONE CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7693
Practice Address - Country:US
Practice Address - Phone:512-529-7968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9851251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health