Provider Demographics
NPI:1568528131
Name:LEFTON INC
Entity Type:Organization
Organization Name:LEFTON INC
Other - Org Name:WILLOW COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:LEFTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSSA, LISW
Authorized Official - Phone:440-942-4440
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:OH
Mailing Address - Zip Code:44065-0190
Mailing Address - Country:US
Mailing Address - Phone:440-942-4440
Mailing Address - Fax:440-942-4727
Practice Address - Street 1:36400 MAPLEGROVE RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-6919
Practice Address - Country:US
Practice Address - Phone:440-942-4440
Practice Address - Fax:440-942-4727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI47891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty