Individual
MELISSA ELLEN BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
227 N MAIN ST, TROY, NC 27371-3058
(910) 572-3681
(910) 572-5579
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
730
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111806
—
NC
Enumeration date
09/16/2006
Last updated
10/22/2019
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