Provider Demographics
NPI:1740845247
Name:CARTER, MELANIE LYNN (LMHCA)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:LYNN
Last Name:CARTER
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:LYNN
Other - Last Name:TERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 5TH AVE N APT 109
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3955
Mailing Address - Country:US
Mailing Address - Phone:206-395-6090
Mailing Address - Fax:
Practice Address - Street 1:200 1ST AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-4298
Practice Address - Country:US
Practice Address - Phone:206-395-6090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60946261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health