Healthcare Provider Details

I. General information

NPI: 1730012741
Provider Name (Legal Business Name): KIMBERLY L MALEK, MA, LPC, LCC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14998 CLEVELAND ST STE H
SPRING LAKE MI
49456-8993
US

IV. Provider business mailing address

1517 KLEMPEL FARM DR
GRAND HAVEN MI
49417-9203
US

V. Phone/Fax

Practice location:
  • Phone: 231-343-7263
  • Fax:
Mailing address:
  • Phone: 231-343-7263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY LYNN MALEK
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: MA, LPC
Phone: 231-343-7263