Provider Demographics
NPI:1750277257
Name:BUSKIRK, MELANIE (BSW)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:BUSKIRK
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:MELBOURNE
Other - Middle Name:RUSSELL
Other - Last Name:BUSKIRK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSW
Mailing Address - Street 1:1459 GREGORY ST APT 15
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1669
Mailing Address - Country:US
Mailing Address - Phone:810-289-8866
Mailing Address - Fax:
Practice Address - Street 1:7752 N CANTON CENTER RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-1328
Practice Address - Country:US
Practice Address - Phone:800-467-7654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)