Jack, Melissa

Jack, Melissa is an individual health care provider with primary practice located at 2040 N Shadeland Ave Ste 250 , Indianapolis IN 46219-1712. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jack, Melissa can be contacted via phone (317) 355-5009.

Contact Information

Primary practice address
2040 N Shadeland Ave Ste 250 Indianapolis IN 46219-1712
Phone: (317) 355-5009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39002394A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000604A Indiana

Profile Details

NPI number 1467974956
LBN Legal business name Jack, Melissa
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2017
Last updated Nov 18th, 2020 - about 6 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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