Individual
MELISSA MARGO BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
4572 S HAGADORN RD STE 1G, EAST LANSING, MI 48823-5385
(517) 325-5224
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
Primary
4704292407
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
4704292407
MI
Other
Enumeration date
05/04/2020
Last updated
06/10/2026
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