MARTHA MELLETTE PICKETT CCS
NPI 1225208978
Counselor - Addiction (Substance Use Disorder) in Roxboro, NC
Active since March 10, 2008
About Martha Mellette Pickett Ccs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTHA MELLETTE PICKETT CCS (NPI 1225208978) is an individual addiction (substance use disorder) provider in Roxboro, North Carolina, licensed in North Carolina (406) and active in the NPI registry since March 2008.
NPPES Registry Identity
NPI1225208978
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARTHA MELLETTE PICKETTCredential: CCS
Location Address355 C1 MADISON BLVD.Roxboro, NC 27573-5485
Mailing Address104 New Stateside DrChapel Hill, NC 27516-1165 · (919) 942-2803 · Fax (919) 942-2126
Phone(336) 599-8366
Fax(336) 322-6168
Sole ProprietorYes
Enumeration DateMarch 10, 2008
Last NPPES UpdateNovember 8, 2011
✔ NPI 1225208978 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 406
355 C1 MADISON BLVD., Roxboro, NC 27573
Other Names 1
Professional Name (2)Martha Mellette Pickett Lcas
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225208978, enumerated as an "individual" on March 10, 2008.
The provider is located at 355 C1 MADISON BLVD. ROXBORO, NC 27573 and the phone number is (336) 599-8366.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
