Provider Demographics
NPI:1407749732
Name:KINCAID, MELANIE (LCMHCA, NCC)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:
Last Name:KINCAID
Suffix:
Gender:F
Credentials:LCMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8406 ANGWIN PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-6490
Mailing Address - Country:US
Mailing Address - Phone:443-904-2695
Mailing Address - Fax:
Practice Address - Street 1:1118 SAM NEWELL RD STE D4
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5162
Practice Address - Country:US
Practice Address - Phone:443-904-2695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC000037978732101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health