Provider Demographics
NPI:1003292327
Name:PRICE, MELISSA (LCSW)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:ELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6302 FAIRVIEW RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-2227
Mailing Address - Country:US
Mailing Address - Phone:704-584-9897
Mailing Address - Fax:704-270-9610
Practice Address - Street 1:6302 FAIRVIEW RD STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-2227
Practice Address - Country:US
Practice Address - Phone:704-584-9897
Practice Address - Fax:704-270-9610
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT90431041C0700X
NCC0096891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical