=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407706344
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LAKEVIEW STAFFING SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2026
-----------------------------------------------------
Last Update Date | 02/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 149 FRANKLIN BLVD STE 5
-----------------------------------------------------
City | PONTIAC
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48341-1707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-904-7093
-----------------------------------------------------
Fax | 248-693-9786
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 938 PINE TREE RD W
-----------------------------------------------------
City | LAKE ORION
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48362-2562
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-904-7093
-----------------------------------------------------
Fax | 248-693-9786
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LENEA MULLINS
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 248-904-7093
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------