Provider Demographics
NPI:1396323341
Name:OMAND, MELISSA RAIFORD (MA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:RAIFORD
Last Name:OMAND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:RAIFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CHPC
Mailing Address - Street 1:5 UPLAND DR
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-3730
Mailing Address - Country:US
Mailing Address - Phone:980-272-8041
Mailing Address - Fax:
Practice Address - Street 1:5 UPLAND DR
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-3730
Practice Address - Country:US
Practice Address - Phone:980-272-8041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional