Ivie, Melana

Ivie, Melana is an sole proprietor health care provider with primary practice located at 4416 W Houston St , Broken Arrow OK 74012-4645. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ivie, Melana can be contacted via phone (918) 288-0027.

Contact Information

Primary practice address
4416 W Houston St Broken Arrow OK 74012-4645
Phone: (918) 288-0027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 10251 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10251 Oklahoma

Profile Details

NPI number 1285154377
LBN Legal business name Ivie, Melana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2017
Last updated Aug 23rd, 2024 - about 2 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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