BRIAN DOUGLAS LEIDAL MA LPC CMHC NPI 1154083897

NPI Information

NPI: 1154083897
Provider Name: BRIAN DOUGLAS LEIDAL, MA LPC CMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
405 LITTLE LAKE DR STE A
ANN ARBOR, MI
ZIP 48103
Phone: (734) 719-0380
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Brian Douglas Leidal, MA LPC CMHC is a mental health counselor in Ann Arbor, MI. Brian Douglas Leidal, MA LPC CMHC NPI is 1154083897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

405 LITTLE LAKE DR STE A
ANN ARBOR, MI
ZIP 48103-220
Phone: (734) 719-0380

The enumeration date for this NPI number is 10/11/2021 and was last updated on 9/5/2023.

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	101YM0800X	Counselor	Mental Health	MHC01319	RHODE ISLAND	No
2	101YM0800X	Counselor	Mental Health	10460707-6004	UTAH	No
3	101YP2500X	Counselor	Professional	LPC.0013400	COLORADO	No
4	101YM0800X	Counselor	Mental Health	6401223256	MICHIGAN	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: 4/28/2024

NPI Synchronization or Removal

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