Healthcare Provider Details

I. General information

NPI: 1447676242
Provider Name (Legal Business Name): TONNA KLEINHANS LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2014
Last Update Date: 03/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4287 FIVE OAKS DR
LANSING MI
48911-4214
US

IV. Provider business mailing address

4287 FIVE OAKS DR
LANSING MI
48911-4214
US

V. Phone/Fax

Practice location:
  • Phone: 517-882-4000
  • Fax:
Mailing address:
  • Phone: 517-882-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401014136
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: