Individual
MELANIE KIM SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
12945 W HIGHWAY 42, PROSPECT, KY 40059-9107
(502) 709-0410
Mailing address
16713 EASTWOOD BLUFF RD, LOUISVILLE, KY 40245-4430
(818) 434-8378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
285624
KY
101YM0800X
Mental Health Counselor
Primary
306467
KY
225700000X
Massage Therapist
252308
KY
Other
Enumeration date
05/01/2022
Last updated
03/17/2026
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