Provider Demographics
NPI:1962001966
Name:LENERTZ, HANNAH (LPCC, LADC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:LENERTZ
Suffix:
Gender:F
Credentials:LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10650 RED CIRCLE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9184
Mailing Address - Country:US
Mailing Address - Phone:507-364-5312
Mailing Address - Fax:
Practice Address - Street 1:10650 RED CIRCLE DR STE 103
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-9184
Practice Address - Country:US
Practice Address - Phone:507-364-5312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MN3984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)