MEDICARE: CRUX LEADERSHIP COACHING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	104100000X	Social Worker
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1083463590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRUX LEADERSHIP COACHING, LLC

Provider Business Mailing Address
First Line	:	8149 GREEN VALLEY DR
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-8171
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8149 GREEN VALLEY DR
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-8171
Country	:	US
Telephone Number	:	616-987-0883
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	MARNEE WEISBROD
Credential	:	LLPC
Telephone Number	:	616-987-0883

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	08/20/2025

Similar Medicare Providers

1770268120 — JAMES VICTOR MANGAN LPC
Practice Location Address:

8149 GREEN VALLEY DR
GRAND BLANC, MI
48439-8171

Practice Phone: 616-987-0883
Practice Fax:

1235769175 — MEGAN MOSS
Practice Location Address:

8179 GREEN VALLEY DR
GRAND BLANC, MI
48439-8171

Practice Phone: 616-301-8000
Practice Fax:

1386337640 — MARNEE WEISBROD MS, LLPC
Practice Location Address:

8149 GREEN VALLEY DR
GRAND BLANC, MI
48439-8171

Practice Phone: 616-987-0883
Practice Fax:

1710737606 — UFOMA OMOHEFE UDEZI
Practice Location Address:

2955 ALOUETTE DR APT 712
GRAND PRAIRIE, TX
75052-8171

Practice Phone: 404-916-2625
Practice Fax:

1356203798 — TAMMY KAY LUTT
Practice Location Address:

704 MEMORIAL DR
GRAND ISLAND, NE
68801-8171

Practice Phone: 308-850-6983
Practice Fax:

1063379014 — ANGELA LANDRY
Practice Location Address:

3139 E BALDWIN RD
GRAND BLANC, MI
48439-7374

Practice Phone: 810-445-5300
Practice Fax:

Directions to “CRUX LEADERSHIP COACHING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.