Melissa Elder Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009689 Issued in NC

Legal business name

MELISSA ELDER THERAPY

Doing business as

Art of Intentional Eating

Practice address

7810 Pineville Matthews Rd
Suite 7
Charlotte, NC 28226-5315

Phone

(980) 288-8595

NPI assigned

Feb 21, 2017

Last updated

Feb 21, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Elder, LCSW

Title

Owner

Phone

(980) 288-8595

Specialties & licenses 1

Addresses

Other names 1

• Art of Intentional Eating Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1417496647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 PINEVILLE MATTHEWS RD",
            "address_2": "SUITE 7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265315",
            "telephone_number": "980-288-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 PINEVILLE MATTHEWS RD",
            "address_2": "SUITE 7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265315",
            "telephone_number": "980-288-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA ELDER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-288-8595",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Art of Intentional Eating",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Constance Cook Mele, MSN, RN
• Lisa J. Melfi, CRNA
• Fallon Melillo
• Cecelia Brown Melin, CNM
• Gregory Alan Melish, MD
• Melissa Marks Gustafson, DDS, PA
• Melissa Marks Gustafson, DDS, PA (Mallard Creek Family Dentistry)
• Michael George Melkonian, M.D.
• Ralph R. Mello, DDS
• Elizabeth Mellott

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.