MELANIE MORAN CRPS NPI 1053017715

NPI Information

NPI: 1053017715
Provider Name: MELANIE MORAN, CRPS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
208 W LINCOLN ST
CHARLEVOIX, MI
ZIP 49720
Phone: (231) 547-1144
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Melanie Moran, CRPS is an addiction (substance use disorder) counselor in Charlevoix, MI. Melanie Moran, CRPS NPI is 1053017715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

208 W LINCOLN ST
CHARLEVOIX, MI
ZIP 49720-336
Phone: (231) 547-1144
Fax: (231) 547-4970

The enumeration date for this NPI number is 2/3/2023 and was last updated on 2/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20151209439760	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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