Himstedt, Melinda Gail

Himstedt, Melinda Gail is an individual health care provider with primary practice located at 1520 Kanawha Blvd E , Charleston WV 25311-2413. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Himstedt, Melinda Gail can be contacted via phone (681) 265-9047.

Contact Information

Primary practice address
1520 Kanawha Blvd E Charleston WV 25311-2413
Phone: (681) 265-9047
Fax: (681) 265-9210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X DP00944410 West Virginia
Behavioral Health & Social Service Providers / Social Worker 104100000X CP00944410 West Virginia

Profile Details

NPI number 1417365065
LBN Legal business name Himstedt, Melinda Gail
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2014
Last updated Oct 10th, 2023 - about 3 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 1417365065 NPPES
West Virginia MEDICAID 0023815000

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