Burlingham, Melissa

Burlingham, Melissa is an individual health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burlingham, Melissa can be contacted via phone (843) 212-8968.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414-5832
Phone: (843) 212-8968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14257 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 11973 South Carolina

Profile Details

NPI number 1184169930
LBN Legal business name Burlingham, Melissa
Credentials LISW-CP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2017
Last updated May 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184169930 NPPES
South Carolina MEDICAID 1760596480

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