Healthcare Provider Details

I. General information

NPI: 1598025959
Provider Name (Legal Business Name): MELISSA RUSSELL-PLUNKETT MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2012
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3209 W SMITH VALLEY RD STE 204
GREENWOOD IN
46142-8510
US

IV. Provider business mailing address

2311 S MILLER ST
SHELBYVILLE IN
46176-9350
US

V. Phone/Fax

Practice location:
  • Phone: 317-604-9889
  • Fax:
Mailing address:
  • Phone: 317-604-9889
  • Fax: 317-300-0949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39003993A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: