Provider Demographics
NPI:1699972711
Name:BLEICH, MALERIE (LMHC)
Entity type:Individual
Prefix:MS
First Name:MALERIE
Middle Name:
Last Name:BLEICH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 NW 16TH ST
Mailing Address - Street 2:#307
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-5899
Mailing Address - Country:US
Mailing Address - Phone:954-497-3604
Mailing Address - Fax:954-497-3622
Practice Address - Street 1:4200 NW16TH STREET
Practice Address - Street 2:307
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313
Practice Address - Country:US
Practice Address - Phone:954-486-1201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6599101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health