Provider Demographics
NPI:1275741977
Name:LENHART, JULIA ANNE (MSWLMSW)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ANNE
Last Name:LENHART
Suffix:
Gender:F
Credentials:MSWLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:GRASS LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49240-9718
Mailing Address - Country:US
Mailing Address - Phone:517-522-6062
Mailing Address - Fax:
Practice Address - Street 1:2004 HOGBACK RD STE 16
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9738
Practice Address - Country:US
Practice Address - Phone:734-786-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010645941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical