Provider Demographics
NPI:1053864595
Name:ROHRIG, MELISSA (PLMHP, PCMSW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:ROHRIG
Suffix:
Gender:F
Credentials:PLMHP, PCMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 S 84TH ST
Mailing Address - Street 2:STE. 212
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2680
Mailing Address - Country:US
Mailing Address - Phone:402-261-9273
Mailing Address - Fax:402-261-9274
Practice Address - Street 1:245 S 84TH ST
Practice Address - Street 2:STE. 212
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2680
Practice Address - Country:US
Practice Address - Phone:402-261-9273
Practice Address - Fax:402-261-9274
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10959101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10959OtherSTATE OF NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES