Mellum, Amy Elizabeth
Mellum, Amy Elizabeth is an sole proprietor health care provider with primary practice located at 311 Ramsey St., Suite 205 , St. Paul MN 55102. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mellum, Amy Elizabeth can be contacted via phone (651) 262-9726.Contact Information
Primary practice address
311 Ramsey St., Suite 205
St. Paul MN 55102
Phone: (651) 262-9726
Fax: (651) 294-2347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 17145 | Minnesota |
Profile Details
| NPI number | 1285817528 |
|---|---|
| LBN Legal business name | Mellum, Amy Elizabeth |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 10th, 2007 |
| Last updated | Mar 28th, 2012 - about 14 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 | 1285817528 | NPPES |
| Minnesota | MEDICAID | 221928100 | |
| Minnesota | Other | 09B85ME | |
| Minnesota | Other | HP88034 |
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