Johnston, Melinda Maris
Johnston, Melinda Maris is an sole proprietor health care provider with primary practice located at 5340 Holiday Ter , Kalamazoo MI 49009-2196. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnston, Melinda Maris can be contacted via phone (269) 372-4140.Contact Information
Primary practice address
5340 Holiday Ter
Kalamazoo MI 49009-2196
Phone: (269) 372-4140
Fax: (269) 372-0390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401009761 | Michigan |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301011212 | Michigan |
Profile Details
| NPI number | 1063456093 |
|---|---|
| LBN Legal business name | Johnston, Melinda Maris |
| Credentials | M.A. L.L.P. L.L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 14th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063456093 | NPPES |
| Michigan | Other | 0897457 | BLUE CROSS BLUE SHIELD OF MICHIGAN |
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