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MELANATED SPACE
NPI 1659119634
Counselor in Durham, NC

Active since July 16, 2024
65 TW ALEXANDER DR UNIT 110122, DURHAM, NC 27709(919) 780-4197 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melanated Space NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANATED SPACE (NPI 1659119634) is a healthcare organization registered as a counselor in Durham, North Carolina and active in the NPI registry since July 2024. The organization lists Whitley Grant-goodman, Owner, as its authorized official.

NPPES Registry Identity

NPI1659119634
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameMELANATED SPACE
Location Address65 TW ALEXANDER DR UNIT 110122Durham, NC 27709-0933
Mailing AddressPo Box 110122Durham, NC 27709-5122 · (919) 780-4197
Phone(919) 780-4197
Organization SubpartNo
Authorized OfficialWhitley Grant-goodmanOwner · (919) 780-4197
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1659119634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
65 TW ALEXANDER DR UNIT 110122, Durham, NC 27709
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELANATED SPACE
Community/Behavioral Health
65 TW ALEXANDER DR UNIT 110122
DURHAM, NC 27709
Durham County (919) 780-4197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanated Space's NPI number?

The NPI number for Melanated Space is 1659119634. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is Melanated Space located?

Melanated Space is located at 65 Tw Alexander Dr Unit 110122, Durham, NC 27709. The listed phone number is (919) 780-4197.

What is Melanated Space's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Melanated Space was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.