Provider Demographics
NPI:1053066670
Name:STANCIL, MELANY (MA, LPC, LCMHC)
Entity type:Individual
Prefix:
First Name:MELANY
Middle Name:
Last Name:STANCIL
Suffix:
Gender:F
Credentials:MA, LPC, LCMHC
Other - Prefix:
Other - First Name:MELANY
Other - Middle Name:
Other - Last Name:RODRIGUEZ GALEANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LCMHC
Mailing Address - Street 1:1501 E 7TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2455
Mailing Address - Country:US
Mailing Address - Phone:843-256-4327
Mailing Address - Fax:
Practice Address - Street 1:1501 E 7TH ST STE 6
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2455
Practice Address - Country:US
Practice Address - Phone:843-256-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9321101YP2500X, 101Y00000X
SC7868101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor