Provider Demographics
NPI:1174688451
Name:KULA, MELISSA S (LMHP)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:S
Last Name:KULA
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:S
Other - Last Name:STRNAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHP
Mailing Address - Street 1:555 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2136
Mailing Address - Country:US
Mailing Address - Phone:402-498-6509
Mailing Address - Fax:402-498-6357
Practice Address - Street 1:14100 CRAWFORD RD
Practice Address - Street 2:
Practice Address - City:BOYS TOWN
Practice Address - State:NE
Practice Address - Zip Code:68010
Practice Address - Country:US
Practice Address - Phone:402-498-1439
Practice Address - Fax:402-498-1592
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2874101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor