Nyx Spirit Melody, LMHC
Counselor, Professional in New York, NY. Individual provider (NPI-1).
NPI number1144856485
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1144856485
- Entity type
- Individual (NPI-1)
- Name
- Nyx Spirit Melody
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 18, 2020
- Certification date
- Aug 1, 2022
- Last updated
- Aug 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 10277 | NY | Yes |
Other names
- Nicholas Scott Moran (Former Name)
Practice location
113 University Pl Fl 11New York, NY 10003-4527
Phone 717-439-6274
Mailing address
113 University Pl Fl 11New York, NY 10003-4527
Phone 717-439-6274
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