Provider Demographics
NPI:1649229311
Name:MELTON, BARBARA (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:MELTON
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 ALICIA DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-3360
Mailing Address - Country:US
Mailing Address - Phone:843-821-3701
Mailing Address - Fax:843-821-3701
Practice Address - Street 1:122 ALICIA DR
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-3360
Practice Address - Country:US
Practice Address - Phone:843-821-3701
Practice Address - Fax:843-821-3701
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1920101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional