Provider Demographics
NPI:1447911623
Name:HABEEB, MELISSA ((L)MHC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:HABEEB
Suffix:
Gender:F
Credentials:(L)MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 PENNELS DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4936
Mailing Address - Country:US
Mailing Address - Phone:585-713-8484
Mailing Address - Fax:
Practice Address - Street 1:95 CANAL LANDING BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5111
Practice Address - Country:US
Practice Address - Phone:585-524-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program