Provider Demographics
NPI:1740830561
Name:MURRELL, MELANDI (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:MELANDI
Middle Name:
Last Name:MURRELL
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 DOVECREEK
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9023
Mailing Address - Country:US
Mailing Address - Phone:803-351-9222
Mailing Address - Fax:
Practice Address - Street 1:2000 PARK STREET
Practice Address - Street 2:SUITE 101 #1337
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201
Practice Address - Country:US
Practice Address - Phone:803-609-2056
Practice Address - Fax:864-302-0838
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7212101YM0800X
SC7945101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health