Healthcare Provider Details

I. General information

NPI: 1518263664
Provider Name (Legal Business Name): MELANIE KRIEG LLP, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE SKINNER

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 JENNER DR
ALLEGAN MI
49010-1517
US

IV. Provider business mailing address

540 JENNER DR
ALLEGAN MI
49010-1517
US

V. Phone/Fax

Practice location:
  • Phone: 269-673-6617
  • Fax: 269-686-5203
Mailing address:
  • Phone: 269-673-6617
  • Fax: 269-686-5203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401223439
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number6301014438
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: