| Doctor Name: | MRS. MELODY HARRIS |
| NPI Number: | 1184915613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCA |
| License Number: | |
| Business Practice Address: | 4389 Indian Trail Fairview Rd Suite 24 Indian Trail, NC - 280799639 |
| Business Phone Number: | 7042549371 |
| Business Fax Number: | 7047769104 |
| Mailing Address: | 9723 Royal Colony Dr, WAXHAW |
| State: | NC |
| Postal Code: | 281736777 |
| Phone Number: | 7042549371 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2011 |
| NPI Last Update Date: | 05/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |