JENELLE K. LEIB MA LPC PLLC NPI 1083388128

NPI Information

  • NPI: 1083388128
  • Provider Name: JENELLE K. LEIB, MA LPC, PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Doing Business As: GREEN LOTUS PROFESSIONAL COUNSELING SERVICES
  • Address: 306 E BROADWAY ST STE 4A
    MOUNT PLEASANT, MI
    ZIP 48858
  • Phone: (989) 572-0004

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NPI Details

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
1101YP2500XCounselorProfessionalYes

What is NPI?

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This page was last updated on: 3/30/2025

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