Healthcare Provider Details

I. General information

NPI: 1700467776
Provider Name (Legal Business Name): LENZ LPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 08/23/2025
Certification Date: 08/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 CLIFF CAVE RD STE 200
SAINT LOUIS MO
63129-3646
US

IV. Provider business mailing address

140 CLIFF CAVE RD STE 200
SAINT LOUIS MO
63129-3646
US

V. Phone/Fax

Practice location:
  • Phone: 314-683-9105
  • Fax: 314-293-9970
Mailing address:
  • Phone: 314-683-9105
  • Fax: 314-293-9970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE LENZ
Title or Position: CFO
Credential: LPC
Phone: 314-620-8291