Provider Demographics
NPI:1306513817
Name:KLEAVER, MELANIE APRIL (LMSW)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:APRIL
Last Name:KLEAVER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:HOLIHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:505 BORTON AVE
Mailing Address - Street 2:
Mailing Address - City:ESSEXVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48732-1117
Mailing Address - Country:US
Mailing Address - Phone:989-907-9841
Mailing Address - Fax:
Practice Address - Street 1:1900 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6831
Practice Address - Country:US
Practice Address - Phone:989-894-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011109551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical