Individual
MELISSA MARIE JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP, LCSW-C, MSW
Contact information
Practice address
1551 21ST AVE N STE 17, MYRTLE BEACH, SC 29577-7496
(843) 868-6200
(843) 868-6200
Mailing address
4006 POSTAL WAY UNIT A, MYRTLE BEACH, SC 29579-3527
(843) 258-3976
(843) 277-0730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13535
SC
Other
Enumeration date
02/21/2017
Last updated
03/03/2026
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