| Doctor Name: | MAXIMILLION M LENCL |
| NPI Number: | 1063810596 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | C1000113 |
| Business Practice Address: | 6797 N High St Suite 244 Worthington, OH - 430852533 |
| Business Phone Number: | 6145057561 |
| Business Fax Number: | 6145057562 |
| Mailing Address: | 6797 N High St, Suite 244 WORTHINGTON |
| State: | OH |
| Postal Code: | 430852533 |
| Phone Number: | 6145057561 |
| Fax Number: | 6145057562 |
| NPI Enumeration Date: | 12/16/2014 |
| NPI Last Update Date: | 12/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C1000113 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |