Provider Demographics
NPI:1164597506
Name:BRESTEL, MELISSA D (LIMHP, LCSW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:D
Last Name:BRESTEL
Suffix:
Gender:F
Credentials:LIMHP, LCSW
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:D
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1410 E GOLD COAST RD STE 800
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-5794
Mailing Address - Country:US
Mailing Address - Phone:402-557-6027
Mailing Address - Fax:402-557-6028
Practice Address - Street 1:1410 E GOLD COAST RD STE 800
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-5794
Practice Address - Country:US
Practice Address - Phone:402-557-6027
Practice Address - Fax:402-557-6028
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13201041C0700X
NE804101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical