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Individual
LEAH M MAYOTTE
Active
Individual
LEAH M MAYOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAADC, EMDR
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401014873
MI
101YM0800X
Mental Health Counselor
Primary
6401014873
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20151209439760
—
MI
01
—
601220444
MAGELLAN HEALTHCARE
MI
01
—
MHPC20131030
MCLAREN HEALTH PLAN, MCLAREN MEDICAID, MCLAREN HMO, MCLAREN HEALTH ADVANTAGE
MI
01
—
OA50080
BCBSM MENTAL HEALTH & SUBSTANCE ABUSE(65), TRADITIONAL(10)PAR, PPO TRUST(55)
MI
Enumeration date
07/20/2015
Last updated
04/30/2026
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