Provider Demographics
NPI:1023894839
Name:BROWN, MELISSA E (PLMHP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:E
Last Name:BROWN
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8790 F ST STE 524
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1538
Mailing Address - Country:US
Mailing Address - Phone:531-600-8060
Mailing Address - Fax:
Practice Address - Street 1:5074 AMES AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2323
Practice Address - Country:US
Practice Address - Phone:531-355-3025
Practice Address - Fax:531-355-7150
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13366101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health