Provider Demographics
NPI:1386343622
Name:MELISSA SIMONEK LTD
Entity type:Organization
Organization Name:MELISSA SIMONEK LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONEK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-285-4116
Mailing Address - Street 1:11516 183RD PL STE NE
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9473
Mailing Address - Country:US
Mailing Address - Phone:708-285-4116
Mailing Address - Fax:
Practice Address - Street 1:11516 183RD PL STE NE
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9473
Practice Address - Country:US
Practice Address - Phone:708-285-4116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty