Provider Demographics
NPI:1700186780
Name:BREEDING-LYNCH, MELINDA C (LMSW-C)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:C
Last Name:BREEDING-LYNCH
Suffix:
Gender:F
Credentials:LMSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 WOODSIDE ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-1754
Mailing Address - Country:US
Mailing Address - Phone:734-775-3777
Mailing Address - Fax:
Practice Address - Street 1:532 RAMBOW DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-3549
Practice Address - Country:US
Practice Address - Phone:734-559-3540
Practice Address - Fax:734-667-3925
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010972681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical