Provider Demographics
NPI:1912285552
Name:SLEP, MELANIE JOY (LPC, LLMFT, NCC)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:JOY
Last Name:SLEP
Suffix:
Gender:F
Credentials:LPC, LLMFT, NCC
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:JOY
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12366 BURLINGAME DR
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-9300
Mailing Address - Country:US
Mailing Address - Phone:810-494-7180
Mailing Address - Fax:517-993-5476
Practice Address - Street 1:908 E MOUNT HOPE AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-3262
Practice Address - Country:US
Practice Address - Phone:517-993-5474
Practice Address - Fax:517-993-5476
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011092101YP2500X
MI4101006409106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist