Provider Demographics
NPI:1700360500
Name:WOLFE, MELISSA (LCMHC, LMHC, ATR)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:WOLFE
Suffix:
Gender:F
Credentials:LCMHC, LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 MERRIMON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2467
Mailing Address - Country:US
Mailing Address - Phone:828-414-2705
Mailing Address - Fax:
Practice Address - Street 1:244 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3343
Practice Address - Country:US
Practice Address - Phone:828-414-2705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-18
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13235101YP2500X
MA13-130221700000X
MA8350101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist