Provider Demographics
NPI:1700467776
Name:LENZ LPC, LLC
Entity Type:Organization
Organization Name:LENZ LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LENZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-683-9105
Mailing Address - Street 1:140 CLIFF CAVE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-3646
Mailing Address - Country:US
Mailing Address - Phone:314-683-9105
Mailing Address - Fax:314-293-9970
Practice Address - Street 1:140 CLIFF CAVE RD STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-3646
Practice Address - Country:US
Practice Address - Phone:314-683-9105
Practice Address - Fax:314-293-9970
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LENZ LPC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-20
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty