Healthcare Provider Details

I. General information

NPI: 1659283463
Provider Name (Legal Business Name): MELISSA LAVIGNE, LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4476 MAIN ST STE 201
AMHERST NY
14226-4463
US

IV. Provider business mailing address

4476 MAIN ST STE 201
AMHERST NY
14226-4463
US

V. Phone/Fax

Practice location:
  • Phone: 716-359-0687
  • Fax:
Mailing address:
  • Phone: 716-359-0687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MELISSA R LAVIGNE
Title or Position: OWNER/OPERATOR
Credential: LCSW
Phone: 716-359-0687