Healthcare Provider Details

I. General information

NPI: 1376565002
Provider Name (Legal Business Name): LENEIGH WHITE M.A., LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17900 JEFFERSON PARK RD STE 101
CLEVELAND OH
44130-3437
US

IV. Provider business mailing address

PO BOX 365953
HYDE PARK MA
02136-0017
US

V. Phone/Fax

Practice location:
  • Phone: 617-272-3905
  • Fax:
Mailing address:
  • Phone: 617-272-3905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.4304
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: