Individual
LEAH M MAYOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAADC, EMDR
Contact information
Practice address
101 M 66 N, CHARLEVOIX, MI 49720-9338
(231) 547-1144
(231) 547-4970
Mailing address
101 M 66 N, CHARLEVOIX, MI 49720-9338
(231) 547-1144
(231) 547-4970
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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