Doctor Name: | MELISSA SILVA |
NPI Number: | 1194157156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLMHP |
License Number: | 9964 |
Business Practice Address: | 20275 Honeysuckle Dr Suite 103 Elkhorn, NE - 680223962 |
Business Phone Number: | 4029335700 |
Business Fax Number: | 4029339998 |
Mailing Address: | 20275 Honeysuckle Dr, Suite 103 ELKHORN |
State: | NE |
Postal Code: | 680223962 |
Phone Number: | 4029335700 |
Fax Number: | 4029339998 |
NPI Enumeration Date: | 08/01/2013 |
NPI Last Update Date: | 08/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 9964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |