Healthcare Provider Details

I. General information

NPI: 1164186862
Provider Name (Legal Business Name): TONNA KLEINHANS, LPC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 10/28/2021
Certification Date: 10/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 COVINGTON CT STE LL
LANSING MI
48912-4941
US

IV. Provider business mailing address

417 REGENT ST
LANSING MI
48912-2630
US

V. Phone/Fax

Practice location:
  • Phone: 517-648-6615
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TONNA KLEINHANS
Title or Position: FOUNDER/OWNER/THERAPIST
Credential: MA, LPC
Phone: 517-648-6615