Provider Demographics
NPI:1376881581
Name:DANSBY, MELISSA S (PROFESSIONAL COUNSEL)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:S
Last Name:DANSBY
Suffix:
Gender:F
Credentials:PROFESSIONAL COUNSEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1720 W FLORIST AVE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-3800
Mailing Address - Country:US
Mailing Address - Phone:414-247-0801
Mailing Address - Fax:414-247-0816
Practice Address - Street 1:1720 W FLORIST AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209-3800
Practice Address - Country:US
Practice Address - Phone:414-247-0801
Practice Address - Fax:414-247-0816
Is Sole Proprietor?:No
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI1118-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1118-226OtherLICENSE