Provider Demographics
NPI:1235868134
Name:MUENZ, JOLEEN LESLIE MAY
Entity Type:Individual
Prefix:
First Name:JOLEEN
Middle Name:LESLIE MAY
Last Name:MUENZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:COLLINS
Mailing Address - State:OH
Mailing Address - Zip Code:44826-9732
Mailing Address - Country:US
Mailing Address - Phone:419-706-5066
Mailing Address - Fax:
Practice Address - Street 1:7232 JUSTIN WAY
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4881
Practice Address - Country:US
Practice Address - Phone:440-578-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program