Healthcare Provider Details

I. General information

NPI: 1386559847
Provider Name (Legal Business Name): LESLIE ANNE LEEMGRAVEN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 W GRAND RIVER AVE
HOWELL MI
48843-1916
US

IV. Provider business mailing address

6150 SHADETREE CT
HOWELL MI
48843-7152
US

V. Phone/Fax

Practice location:
  • Phone: 248-767-8184
  • Fax:
Mailing address:
  • Phone: 248-767-8184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801089715
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: