Provider Demographics
NPI:1639295033
Name:ZELL-MELENYK, CYNTHIA (MA, CAC1)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:
Last Name:ZELL-MELENYK
Suffix:
Gender:F
Credentials:MA, CAC1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23700 HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-3146
Mailing Address - Country:US
Mailing Address - Phone:248-967-4310
Mailing Address - Fax:248-967-4301
Practice Address - Street 1:21700 GREENFIELD RD
Practice Address - Street 2:SUITE 130
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2581
Practice Address - Country:US
Practice Address - Phone:248-967-4310
Practice Address - Fax:248-967-4301
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)