Provider Demographics
NPI:1225815186
Name:PAKAS, MELISSA KAY (ACLC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:KAY
Last Name:PAKAS
Suffix:
Gender:F
Credentials:ACLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1349
Mailing Address - Street 2:
Mailing Address - City:BROWNING
Mailing Address - State:MT
Mailing Address - Zip Code:59417-1349
Mailing Address - Country:US
Mailing Address - Phone:406-845-5215
Mailing Address - Fax:406-338-7653
Practice Address - Street 1:109 N PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:BROWNING
Practice Address - State:MT
Practice Address - Zip Code:59417-5316
Practice Address - Country:US
Practice Address - Phone:406-338-3123
Practice Address - Fax:406-338-7653
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-ACLC-LIC-62309101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty