Campos, Melissa Annette

Campos, Melissa Annette is an individual health care provider with primary practice located at 4425 Military Trl #203, Jupiter FL 33458-4819. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Campos, Melissa Annette can be contacted via phone (561) 747-2775.

Contact Information

Primary practice address
4425 Military Trl #203 Jupiter FL 33458-4819
Phone: (561) 747-2775
Fax: (561) 747-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9360 Florida

Profile Details

NPI number 1457642720
LBN Legal business name Campos, Melissa Annette
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2011
Last updated Nov 6th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457642720 NPPES
Florida MEDICAID 002147800

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