Provider Demographics
NPI:1235419912
Name:KREIFELS, MELANIE BETH (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:BETH
Last Name:KREIFELS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 BUENA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2323
Mailing Address - Country:US
Mailing Address - Phone:816-718-6020
Mailing Address - Fax:
Practice Address - Street 1:4101 W 54TH TER STE B
Practice Address - Street 2:
Practice Address - City:ROELAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66205-2416
Practice Address - Country:US
Practice Address - Phone:913-403-0032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2291101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional