Healthcare Provider Details

I. General information

NPI: 1114834041
Provider Name (Legal Business Name): LIENHOP COUNSELING & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 LIBERTY DR STE 109
VERONA WI
53593-9160
US

IV. Provider business mailing address

807 LIBERTY DR STE 109
VERONA WI
53593-9160
US

V. Phone/Fax

Practice location:
  • Phone: 630-336-3852
  • Fax:
Mailing address:
  • Phone: 608-693-7632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELINE LIENHOP
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCSW
Phone: 608-693-7632