Smith, Melissa

Smith, Melissa is an individual health care provider with primary practice located at 300 Red Bud Ln , Vienna IL 62995-1792. 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Smith, Melissa can be contacted via phone (618) 658-3079.

Contact Information

Primary practice address
300 Red Bud Ln Vienna IL 62995-1792
Phone: (618) 658-3079
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1447940184
LBN Legal business name Smith, Melissa
Credentials BSW, MHP
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2023
Last updated May 8th, 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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