Healthcare Provider Details

I. General information

NPI: 1225791932
Provider Name (Legal Business Name): MELISSA JANE DIAZ MS, SHRM-CP, RCSWI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA JANE WILHITE MS

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 BRIGDEN DR
BATTLE CREEK MI
49014-5803
US

IV. Provider business mailing address

519 S PARK ST
KALAMAZOO MI
49007-5117
US

V. Phone/Fax

Practice location:
  • Phone: 269-282-7104
  • Fax: 269-903-0605
Mailing address:
  • Phone: 269-383-0450
  • Fax: 269-383-2066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCL60200349
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: