Provider Demographics
NPI:1750914750
Name:TEUSCH, MELANIE (LCMHC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:TEUSCH
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 HOLDEN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27596-7200
Mailing Address - Country:US
Mailing Address - Phone:260-242-4455
Mailing Address - Fax:
Practice Address - Street 1:537 HOLDEN FOREST DR
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27596-7200
Practice Address - Country:US
Practice Address - Phone:260-242-4455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-18
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15566101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty