Healthcare Provider Details

I. General information

NPI: 1043586951
Provider Name (Legal Business Name): MELISSA ANN EHART LPC, CAADC, CCS SAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2012
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 W DICKMAN RD STE P1
SPRINGFIELD MI
49037-4895
US

IV. Provider business mailing address

104 N 22ND ST
BATTLE CREEK MI
49015-1763
US

V. Phone/Fax

Practice location:
  • Phone: 269-883-6560
  • Fax: 269-883-6891
Mailing address:
  • Phone: 269-788-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401012045
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: