Provider Demographics
NPI:1063055879
Name:LEAN ON ME CONSULTING LLC
Entity type:Organization
Organization Name:LEAN ON ME CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-973-0223
Mailing Address - Street 1:2166 GOLD HILL RD STE 4
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-9351
Mailing Address - Country:US
Mailing Address - Phone:803-973-0221
Mailing Address - Fax:803-973-0207
Practice Address - Street 1:2166 GOLD HILL RD STE 4
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-9351
Practice Address - Country:US
Practice Address - Phone:803-973-0221
Practice Address - Fax:803-973-0207
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEAN ON ME CONSULTING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-24
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEN1735Medicaid
SCPG0649Medicaid