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Organization

LENZY FAMILY INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH LENZY LPCC-S (CEO)
(330) 956-5936
Entity
Organization

Contact information

Practice address
1930 FULTON RD NW STE 103, CANTON, OH 44709-3526
(330) 956-5936
Mailing address
1930 FULTON RD NW STE 103, CANTON, OH 44709-3526
(330) 956-5936

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0001362
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0054717
OH
Enumeration date
05/29/2018
Last updated
06/16/2018
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