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Contact Information

MELISSA M BLACK, MSN, PMHNP-BC
3475 BELLE CHASE WAY
LANSING, MI48911-4252
 Phone: 517-882-3732
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Child & Adolescent

163WP0807X
Indicates primary specialty

NPI Profile & details for MELISSA M BLACK · (Female)

NPI Number 1013538834
Status Active
Credentials MSN, PMHNP-BC
Entity Individual
Enumeration date 05/04/2020
Last updated 04/23/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704292407
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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