Provider Demographics
NPI:1770854895
Name:GRIFFIN, MELISSA K (LIMHP)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:K
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:K
Other - Last Name:GOCHENOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3314 26TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-2331
Mailing Address - Country:US
Mailing Address - Phone:402-564-9888
Mailing Address - Fax:402-564-9899
Practice Address - Street 1:3314 26TH ST STE A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-2331
Practice Address - Country:US
Practice Address - Phone:402-564-9888
Practice Address - Fax:402-564-9899
Is Sole Proprietor?:No
Enumeration Date:2012-01-20
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9575101YM0800X
NE4391101YM0800X
NE1394101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health