Provider Demographics
NPI:1265206122
Name:BIKIS, MELINA V
Entity type:Individual
Prefix:
First Name:MELINA
Middle Name:V
Last Name:BIKIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELINA
Other - Middle Name:
Other - Last Name:GIANNIKAKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:69930 HIGHWAY 111
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-2850
Mailing Address - Country:US
Mailing Address - Phone:760-992-3039
Mailing Address - Fax:
Practice Address - Street 1:37458 BRADFORD DR
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92203-4891
Practice Address - Country:US
Practice Address - Phone:442-215-2579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No104100000XBehavioral Health & Social Service ProvidersSocial Worker