MEDICARE: KIMBERLY L MALEK, MA, LPC, LCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1730012741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIMBERLY L MALEK, MA, LPC, LCC

Provider Business Mailing Address
First Line	:	1517 KLEMPEL FARM DR
Second Line	:
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-9203
Country	:	US
Telephone Number	:	231-343-7263
Fax Number	:

Provider Business Practice Location Address
First Line	:	14998 CLEVELAND ST STE H
Second Line	:
City	:	SPRING LAKE
State	:	MI
Zip	:	49456-8993
Country	:	US
Telephone Number	:	231-343-7263
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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