Provider Demographics
NPI:1902201007
Name:MELISSA RENEE SEBEK
Entity Type:Organization
Organization Name:MELISSA RENEE SEBEK
Other - Org Name:A REASON TO HOPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LMHP
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:SEBEK
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:402-420-2650
Mailing Address - Street 1:4701 VAN DORN ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2562
Mailing Address - Country:US
Mailing Address - Phone:402-420-2650
Mailing Address - Fax:402-486-4833
Practice Address - Street 1:4701 VAN DORN ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2562
Practice Address - Country:US
Practice Address - Phone:402-420-2650
Practice Address - Fax:402-486-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-31
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3989261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)