Provider Demographics
NPI:1225300502
Name:SEBEK, MELISSA RENEE (MA, LMHP, PC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:RENEE
Last Name:SEBEK
Suffix:
Gender:F
Credentials:MA, LMHP, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 VAN DORN ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2562
Mailing Address - Country:US
Mailing Address - Phone:402-420-2650
Mailing Address - Fax:402-486-4833
Practice Address - Street 1:4701 VAN DORN ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2562
Practice Address - Country:US
Practice Address - Phone:402-420-2650
Practice Address - Fax:402-486-4833
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3989101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health