Mellum, Amy Elizabeth

Mellum, Amy Elizabeth is an sole proprietor health care provider with primary practice located at 311 Ramsey St., Suite 205 , St. Paul MN 55102. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mellum, Amy Elizabeth can be contacted via phone (651) 262-9726.

Contact Information

Primary practice address
311 Ramsey St., Suite 205 St. Paul MN 55102
Phone: (651) 262-9726
Fax: (651) 294-2347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 17145 Minnesota

Profile Details

NPI number 1285817528
LBN Legal business name Mellum, Amy Elizabeth
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2007
Last updated Mar 28th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285817528 NPPES
Minnesota MEDICAID 221928100
Minnesota Other 09B85ME
Minnesota Other HP88034

Popular Providers