Provider Demographics
NPI:1043524747
Name:MELISSA HUBER, LCSW.LLC
Entity type:Organization
Organization Name:MELISSA HUBER, LCSW.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-764-7178
Mailing Address - Street 1:828 BESS LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-4002
Mailing Address - Country:US
Mailing Address - Phone:302-762-5104
Mailing Address - Fax:302-762-6106
Practice Address - Street 1:828 BESS LN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-4002
Practice Address - Country:US
Practice Address - Phone:302-762-5104
Practice Address - Fax:302-762-6106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty