Organization · Type 2 NPI

Melanated Space

Mental Health Counselor · Durham, NC

NPI number 1174497135 Active

Practice location

65 Tw Alexander Dr Unit 110122
Durham, NC 27709-0933

Call (919) 780-4197 Map

Mailing address

PO Box 110122
Durham, NC 27709-5122

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174497135

Melanated Space's National Provider Identifier is 1174497135, issued on Oct 2, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durham, NC. The record was last updated on Sep 17, 2026.