Provider Demographics
NPI:1023079548
Name:MUSE, MELISSA A (EDD, LPC, LPC-S)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:A
Last Name:MUSE
Suffix:
Gender:F
Credentials:EDD, LPC, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 S HAZARD ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29440-4728
Mailing Address - Country:US
Mailing Address - Phone:843-240-1782
Mailing Address - Fax:843-650-5606
Practice Address - Street 1:635 S HAZARD ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:SC
Practice Address - Zip Code:29440-4728
Practice Address - Country:US
Practice Address - Phone:843-240-1782
Practice Address - Fax:843-650-5606
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2413101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health