Organization
MELANGE HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARDNER HAWKINS (PRINCIPAL)
(704) 567-8690
Entity
Organization
Contact information
Practice address
145 SCALEYBARK RD, SUITE B, CHARLOTTE, NC 28209-2687
(704) 567-8690
Mailing address
PO BOX 29234, CHARLOTTE, NC 28229-9234
(704) 567-8690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
104100000X
Social Worker
Primary
8301351
NC
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005873
—
NC
05
—
8301351
—
NC
05
—
8301351B
—
NC
05
—
8301351H
—
NC
05
—
8301531G
—
NC
05
—
8302355
—
NC
05
—
8302355B
—
NC
05
—
8302355G
—
NC
05
—
8302355H
—
NC
Enumeration date
02/21/2007
Last updated
05/30/2014
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