Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Melissa E Tate-Scruse, EDD, LCMHCS

Individual provider Mental Health Counselor · NPI 1457678260

Dr. Melissa E Tate-Scruse, EDD, LCMHCS is a Mental Health Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in Maryland and North Carolina.

Licensed in
MD, NC
In the registry since
2010
Specialties on file
3
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

2210 Coronation Blvd Ste C
Charlotte, NC 28227-6799
Phone: (704) 957-3865
Fax: (704) 919-0474
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence S9529 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC9529 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence LC2087 (MD)

Record details

NPI number1457678260
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD , LCMHCS
Sole proprietorYes
NPI enumeratedMay 3, 2010
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020

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