Provider Demographics
NPI:1255627097
Name:BATTLE, MELVIN RAY (MAC, NBCC, LCMHC)
Entity type:Individual
Prefix:MR
First Name:MELVIN
Middle Name:RAY
Last Name:BATTLE
Suffix:
Gender:M
Credentials:MAC, NBCC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5500 EXECUTIVE CENTER DR STE 108
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8820
Mailing Address - Country:US
Mailing Address - Phone:704-503-8647
Mailing Address - Fax:800-754-8620
Practice Address - Street 1:5500 EXECUTIVE CENTER DR STE 108
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8820
Practice Address - Country:US
Practice Address - Phone:704-601-7979
Practice Address - Fax:800-754-8862
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10383101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health