Melissa Aguilar, LMFTA

Individual provider Active NPI Marriage & Family Therapist · Raleigh, NC

NPI 1346864253 · NPPES record last updated Jun 5, 2020

Key facts

NPI
1346864253
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
12134A (NC)
Practice address
8376 Six Forks Rd Ste 104
Raleigh, NC 27615-5095
Phone
(919) 900-7438
Fax
(919) 900-7576
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12134ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fernandez Community Center, LLC Current
since Jun 7, 2020
Accepting new patients

Locations

8376 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (919) 585-5085

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12134A NC Yes

Addresses

Primary practice location

8376 Six Forks Rd Ste 104
Raleigh, NC 27615-5095

Mailing address

2525 Booker Creek Rd Apt 16F
Chapel Hill, NC 27514-5108
Phone (919) 771-5065

Other providers in Raleigh, NC

All providers in Raleigh, NC · Marriage & Family Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.