Genzink, Melista Dee
Genzink, Melista Dee is an individual health care provider with primary practice located at 516 Cherry St Se , Grand Rapids MI 49503-4702. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Genzink, Melista Dee can be contacted via phone (616) 456-6135.Contact Information
Primary practice address
516 Cherry St Se
Grand Rapids MI 49503-4702
Phone: (616) 456-6135
Fax: (616) 771-9779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801091836 | Michigan |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1639418288 |
|---|---|
| LBN Legal business name | Genzink, Melista Dee |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2013 |
| Last updated | Feb 1st, 2013 - about 13 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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