Healthcare Provider Details

I. General information

NPI: 1851257836
Provider Name (Legal Business Name): MELYSSA MICHELLE MARTIN RANJAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELYSSA MICHELLE MARTIN

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 ROTHROCK RD STE 203
COPLEY OH
44321-3133
US

IV. Provider business mailing address

840 ROTHROCK RD STE 203
COPLEY OH
44321-3133
US

V. Phone/Fax

Practice location:
  • Phone: 330-426-7885
  • Fax: 330-249-7321
Mailing address:
  • Phone: 330-426-7885
  • Fax: 330-249-7321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberS.2504782-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: