Provider Demographics
NPI:1184012965
Name:KIRKLAND, MELANIE (LMFT)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:KIRKLAND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DBA PROGRESSIVE
Other - Middle Name:LIVING
Other - Last Name:INSTITUTE, LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:203 LITTLE HAYSTACK DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-6361
Mailing Address - Country:US
Mailing Address - Phone:702-917-8929
Mailing Address - Fax:702-534-0152
Practice Address - Street 1:2620 REGATTA DR STE 211
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-6891
Practice Address - Country:US
Practice Address - Phone:702-917-8929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty