George-Humphrey, Melissa Ann

George-Humphrey, Melissa Ann is an individual health care provider with primary practice located at 522 Beltrami Ave Nw Suite 116, Bemidji MN 56601-3001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. George-Humphrey, Melissa Ann can be contacted via phone (218) 760-2222.

Contact Information

Primary practice address
522 Beltrami Ave Nw Suite 116 Bemidji MN 56601-3001
Phone: (218) 760-2222
Fax: (218) 444-7105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14486 Minnesota

Profile Details

NPI number 1629405915
LBN Legal business name George-Humphrey, Melissa Ann
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated Oct 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629405915 NPPES
Minnesota MEDICAID 288620100

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