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MELLISA LYN QUANDT
NPI 1790316248
Peer Specialist in Port Huron, MI

Active since February 03, 2020
3111 ELECTRIC AVE, PORT HURON, MI 48060(810) 966-3566 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Feb 3, 2020 (2 updates tracked since 2020).

About Mellisa Lyn Quandt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELLISA LYN QUANDT (NPI 1790316248) is an individual peer specialist in Port Huron, Michigan and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1790316248
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMELLISA LYN QUANDT
Location Address3111 ELECTRIC AVEPort Huron, MI 48060-8127
Mailing Address1064 S 15th StSaint Clair, MI 48079-5202 · (810) 734-1867
Phone(810) 966-3566
Sole ProprietorNo
Enumeration DateFebruary 3, 2020
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1790316248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3111 ELECTRIC AVE, Port Huron, MI 48060
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY E CROTEAU R.N.,B.S.N.
Registered Nurse
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
HEATHER STEWART LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
MICAELA ANNE CHAMPINE
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
CALLIE GUNN
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JACQUELINE RENEE NICHOLS
Technician/Technologist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
SHELBY RENEE GRAHAM
Case Manager/Care Coordinator
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
BRIAN FANION LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JORDAN FRONTIERO B.S
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 966-3739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mellisa Quandt's NPI number?

The NPI number for Mellisa Quandt is 1790316248. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Where is Mellisa Quandt located?

Mellisa Quandt practices at 3111 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 966-3566.

What is Mellisa Quandt's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mellisa Quandt was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.