Provider Demographics
NPI:1033123955
Name:LILES-LEHNERT, RAMONA JEANNE (LMHC)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:JEANNE
Last Name:LILES-LEHNERT
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 1:259 E OAKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32539-3547
Mailing Address - Country:US
Mailing Address - Phone:850-682-1234
Mailing Address - Fax:850-689-8799
Practice Address - Street 1:1020 S FERDON BLVD
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-4510
Practice Address - Country:US
Practice Address - Phone:850-306-3983
Practice Address - Fax:850-306-3984
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4303101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health