1932030889 NPI number — MELISSA NICOLE KNIGHT MA, ALC

Table of content: MELISSA NICOLE KNIGHT MA, ALC (NPI 1932030889)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932030889 NPI number — MELISSA NICOLE KNIGHT MA, ALC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KNIGHT
Provider First Name:
MELISSA
Provider Middle Name:
NICOLE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, ALC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRIDGE
Provider Other First Name:
RIVER
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1932030889
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/28/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1805 MOODY RIDGE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTTSBORO
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35768-2301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-609-6718
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
246 MCCURDY AVE N STE 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RAINSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35986-6463
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-914-6200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/28/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  ALC05876 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)