Individual
MELISSA MARGO BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
3475 BELLE CHASE WAY, LANSING, MI 48911-4252
(517) 882-3732
Mailing address
118 COWLEY AVE, EAST LANSING, MI 48823-4012
(517) 897-2774
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
4704292407
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704292407
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
4704292407
MI
Other
Enumeration date
05/04/2020
Last updated
04/23/2025
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