Provider Demographics
NPI:1154402725
Name:TROLZ, LENA ELIZABETH (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LENA
Middle Name:ELIZABETH
Last Name:TROLZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2104
Mailing Address - Country:US
Mailing Address - Phone:231-929-7003
Mailing Address - Fax:
Practice Address - Street 1:3180 RACQUET CLUB DR
Practice Address - Street 2:SUTIE G
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-4797
Practice Address - Country:US
Practice Address - Phone:231-929-7003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010864311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical