Waters, Melodie M.

Waters, Melodie M. is an individual health care provider with primary practice located at 1547 Parkway , Greenwood SC 29646-4081. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waters, Melodie M. can be contacted via phone (864) 229-7120.

Contact Information

Primary practice address
1547 Parkway Greenwood SC 29646-4081
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1154503035
LBN Legal business name Waters, Melodie M.
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2007
Last updated Dec 3rd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154503035 NPPES
South Carolina MEDICAID 421504

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