Healthcare Provider Details

I. General information

NPI: 1083946800
Provider Name (Legal Business Name): ANDREW J LESNIEWICZ LPCC-S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2010
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 W 3RD ST
PERRYSBURG OH
43551-1414
US

IV. Provider business mailing address

222 W 2ND ST
PERRYSBURG OH
43551-1403
US

V. Phone/Fax

Practice location:
  • Phone: 419-467-9406
  • Fax: 419-931-1999
Mailing address:
  • Phone: 419-467-9406
  • Fax: 419-931-1999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.0501335
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.0501335
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: