Healthcare Provider Details

I. General information

NPI: 1598165581
Provider Name (Legal Business Name): MELISSA GALVAN LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA ZIMMERMAN LLMSW

II. Dates (important events)

Enumeration Date: 08/27/2014
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 E MICHIGAN AVE STE 103
PAW PAW MI
49079-1462
US

IV. Provider business mailing address

816 E MICHIGAN AVE STE 103
PAW PAW MI
49079-1462
US

V. Phone/Fax

Practice location:
  • Phone: 269-325-2557
  • Fax:
Mailing address:
  • Phone: 269-325-2557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801097087
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: