MEDICARE: MELISSA RENEE SOMMERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6451024759	MI

General Provider Information

NPI Number	:	1427908250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA RENEE SOMMERS LLC

Provider Business Mailing Address
First Line	:	970 W MAUMEE ST
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-1916
Country	:	US
Telephone Number	:	517-442-3125
Fax Number	:

Provider Business Practice Location Address
First Line	:	970 W MAUMEE ST
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-1916
Country	:	US
Telephone Number	:	517-442-3125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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