JENELLE K. LEIB MA LPC PLLC NPI 1083388128

NPI Information

NPI: 1083388128
Provider Name: JENELLE K. LEIB, MA LPC, PLLC

Doing Business As: GREEN LOTUS PROFESSIONAL COUNSELING SERVICES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
306 E BROADWAY ST STE 4A
MOUNT PLEASANT, MI
ZIP 48858
Phone: (989) 572-0004
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JENELLE K. LEIB, MA LPC, PLLC is a professional counselor in Mount Pleasant, MI. JENELLE K. LEIB, MA LPC, PLLC NPI is 1083388128. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Green Lotus Professional Counseling Services.

The provider's business location address is:

306 E BROADWAY ST STE 4A
MOUNT PLEASANT, MI
ZIP 48858-659
Phone: (989) 572-0004
Fax: (989) 702-2266

The provider's authorized official is Jenelle K Leib .
The authorized official title is Lpc and has the following contact phone number (989) 572-0004.

The enumeration date for this NPI number is 8/3/2021 and was last updated on 8/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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