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NPI Code Detail

MEDICARE: LEASE THERAPY COLLECTIVE PLLC

MEDICARE: LEASE THERAPY COLLECTIVE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1720920697
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEASE THERAPY COLLECTIVE PLLC
Provider Business Mailing Address
First Line : 8509 LAWNDALE AVE
Second Line :
City : SKOKIE
State : IL
Zip : 60076-2331
Country : US
Telephone Number : 614-915-7182
Fax Number :
Provider Business Practice Location Address
First Line : 8509 LAWNDALE AVE
Second Line :
City : SKOKIE
State : IL
Zip : 60076-2331
Country : US
Telephone Number : 614-915-7182
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LEO LEASE
Credential :
Telephone Number : 614-915-7182
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “LEASE THERAPY COLLECTIVE PLLC ” Practice Location

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