| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NICOLE ANN LENTZ | 1104552140 | 2022-07-30 |
Nicole Ann Lentz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104552140. Registration indicates Nicole Ann Lentz is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Mrs. Nicole Ann Lentz LMFT |
| Practice Office Address | 64 MAIN ST OSWEGO, IL US |
| Practice Office Telephone | 6305191010 |
| Mailing Address | 381 N 400 E VALPARAISO, IN 463839705 US |
| Business Telephone | 2197652836 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 35002121A
IN |