Provider Demographics
NPI:1154656957
Name:KRIEG, MIKEE L (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MIKEE
Middle Name:L
Last Name:KRIEG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 EAST HIGH STREET
Mailing Address - Street 2:SUITE 407
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370
Mailing Address - Country:US
Mailing Address - Phone:724-627-4692
Mailing Address - Fax:724-852-6313
Practice Address - Street 1:95 EAST HIGH STREET
Practice Address - Street 2:SUITE 407
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370
Practice Address - Country:US
Practice Address - Phone:724-627-4692
Practice Address - Fax:724-852-6313
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
PAPC005903101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor