Healthcare Provider Details

I. General information

NPI: 1720381924
Provider Name (Legal Business Name): MELISSA DREHER MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA NEVINS BS

II. Dates (important events)

Enumeration Date: 12/09/2010
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 S SPRINGHILL JCT
TERRE HAUTE IN
47802-4584
US

IV. Provider business mailing address

7369 E LAKEWOOD DR
TERRE HAUTE IN
47802-9212
US

V. Phone/Fax

Practice location:
  • Phone: 812-242-2244
  • Fax: 812-242-2210
Mailing address:
  • Phone: 812-894-9643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39002574A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: