Provider Demographics
NPI:1144465949
Name:PARSONS, MELODIE BROWN (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:MELODIE
Middle Name:BROWN
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:MELODIE
Other - Middle Name:BONITA
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:319 N GRAHAM HOPEDALE RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-2990
Mailing Address - Country:US
Mailing Address - Phone:336-513-4200
Mailing Address - Fax:336-513-4449
Practice Address - Street 1:319 N GRAHAM HOPEDALE RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2990
Practice Address - Country:US
Practice Address - Phone:336-513-4200
Practice Address - Fax:336-513-4449
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0050441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical