- Practice location
- 405 Little Lake Dr Ste A, Ann Arbor, MI 48103-6220
- Phone
- 734-719-0380
- Fax
- —
- Last updated
- September 5, 2023
Brian Douglas Leidal is a Counselor, Mental Health based in Ann Arbor, MI. Brian Douglas Leidal practices in Ann Arbor, MI and has the professional credentials of MA LPC CMHC. The NPI Number for Brian Douglas Leidal is 1154083897 and holds a License No. MHC01319 (RI). The current practice location address for Brian Douglas Leidal is 405 Little Lake Dr Ste A, Ann Arbor, MI 48103-6220 and can be reached out via phone at 734-719-0380.
Provider Profile Details
- NPI Number
- 1154083897
- Provider Name
- Brian Douglas Leidal
- Credential
- MA LPC CMHC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 405 Little Lake Dr Ste A, Ann Arbor, MI 48103-6220
- Phone Number
- 734-719-0380
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 11, 2021
- Last Update Date
- September 5, 2023
- Certification Date
- September 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 405 Little Lake Dr Ste A
Ann Arbor, MI 48103-6220 - City
- Ann Arbor
- State
- Michigan
- Zip
- 48103-6220
- Phone Number
- 734-719-0380
Provider Business Mailing Address Details
- Address
- 121 Wood St Apt 3
Bristol, RI 02809-3169 - City
- Bristol
- State
- RI
- Zip
- 02809-3169
- Phone Number
- 313-969-2288
License Information
- License Number (1)
- MHC01319
- License State (1)
- RI
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 10460707-6004
- License State (2)
- UT
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- License Number (3)
- LPC.0013400
- License State (3)
- CO
- Taxonomy (3)
- Counselor, Professional · 101YP2500X
- License Number (4)
- 6401223256
- License State (4)
- MI
- Taxonomy (4)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brian D Leidal, MA LPC CMHC?
The NPI number of Brian D Leidal, MA LPC CMHC is 1154083897. It was assigned on October 11, 2021 and is currently active in the NPPES registry.
What is the specialty of Brian D Leidal, MA LPC CMHC?
Brian D Leidal, MA LPC CMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in RI under license number MHC01319.
Where does Brian D Leidal, MA LPC CMHC practice?
The practice location is 405 Little Lake Dr Ste A, Ann Arbor, MI 48103-6220. The office can be reached at 734-719-0380 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154083897 directly on the NPPES registry website.