| Melissa H Casstevens, MS, LCMHC | |
|
6255 Towncenter Dr Unit 1698, Clemmons, NC 27012-9376 | |
| (336) 569-4340 | |
| Not Available |
| Full Name | Melissa H Casstevens |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 6255 Towncenter Dr Unit 1698, Clemmons, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043787690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A14367 (North Carolina) | Primary |
| 101YP2500X | Counselor - Professional | A14367 (North Carolina) | Secondary |
| Entity Name | Jodi Province Counseling Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194050435 PECOS PAC ID: 3678726569 Enrollment ID: O20121228000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa H Casstevens, MS, LCMHC Po Box 114, State Road, NC 28676-0114 Ph: (336) 569-4340 | Melissa H Casstevens, MS, LCMHC 6255 Towncenter Dr Unit 1698, Clemmons, NC 27012-9376 Ph: (336) 569-4340 |
Lia Deland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7719 Whitehorse Dr, Clemmons, NC 27012 Phone: 336-671-1601 | |
Caitlin Evey Jennings, Counselor Medicare: May Accept Medicare Assignments Practice Location: 6255 Towncenter Dr Ste 955, Clemmons, NC 27012 Phone: 336-422-6596 | |
Mr. Robert Denig, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2255 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-766-0505 Fax: 336-766-0153 | |
Madison Shreve, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2554 Lewisville Clemmons Rd Bldg Suite209, Clemmons, NC 27012 Phone: 336-660-6000 | |
Nicole Arnn, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2570 Harper Rd, Clemmons, NC 27012 Phone: 313-509-7168 | |
Haley Pegram Quick, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2554 Lewisville Clemmons Rd Ste 112, Clemmons, NC 27012 Phone: 336-283-2510 Fax: 336-776-0091 |