Provider Demographics
NPI:1457893174
Name:LESNER, MESHELLE R (LPCC)
Entity Type:Individual
Prefix:
First Name:MESHELLE
Middle Name:R
Last Name:LESNER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2756 SAGAMORE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-4008
Mailing Address - Country:US
Mailing Address - Phone:419-283-7573
Mailing Address - Fax:888-337-1743
Practice Address - Street 1:3130 EXECUTIVE PKWY STE 2D
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-5534
Practice Address - Country:US
Practice Address - Phone:419-283-7573
Practice Address - Fax:888-337-1743
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-11
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1800646101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0278546Medicaid