Healthcare Provider Details

I. General information

NPI: 1508026014
Provider Name (Legal Business Name): MELISSA M HUTCHINSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 S WASHINGTON ST
MT PLEASANT MI
48858-2513
US

IV. Provider business mailing address

7545 S WISE RD
SHEPHERD MI
48883-9711
US

V. Phone/Fax

Practice location:
  • Phone: 989-773-9328
  • Fax:
Mailing address:
  • Phone: 989-773-9382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: