Provider Demographics
NPI:1225573397
Name:STRIZEK, MELISSA (LIMHP, LADC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:STRIZEK
Suffix:
Gender:F
Credentials:LIMHP, LADC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:KUMKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2633 P ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-3528
Mailing Address - Country:US
Mailing Address - Phone:402-435-4044
Mailing Address - Fax:402-435-4051
Practice Address - Street 1:2633 P ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-3528
Practice Address - Country:US
Practice Address - Phone:402-435-4044
Practice Address - Fax:402-435-4051
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2147101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE11077OtherNEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES