Provider Demographics
NPI:1952954000
Name:CARPENTIER-MCLEAN, LENNY MARIE (MSW, CADC)
Entity Type:Individual
Prefix:
First Name:LENNY
Middle Name:MARIE
Last Name:CARPENTIER-MCLEAN
Suffix:
Gender:F
Credentials:MSW, CADC
Other - Prefix:
Other - First Name:LENA
Other - Middle Name:MARIE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4002 S M 129
Mailing Address - Street 2:
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-8901
Mailing Address - Country:US
Mailing Address - Phone:906-440-9193
Mailing Address - Fax:
Practice Address - Street 1:605 E 7TH AVE APT 9
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-3111
Practice Address - Country:US
Practice Address - Phone:906-635-7270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-18
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MI101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)