Individual ProviderKelleigh Renee LonidierCounselorBehavioral Health & Social Service ProvidersPractice Address413 Lilly Rd NE, Olympia, WA 98506-5133(360) 493-7060PECOS EnrollmentBased on the most recent information from CMS, provider Kelleigh Renee Lonidier does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1396203618Provider TypeIndividualFull NameLonidier, Kelleigh ReneeGenderFemaleSole ProprietorNoEnumeration Date3/5/2019Last Updated7/12/2021Contact InformationPractice LocationPractice Address413 Lilly Rd NE, Olympia, WA 98506-5133Phone(360) 493-7060FaxUnlisted FaxMailing LocationMailing Address413 Lilly Rd NE, Olympia, WA 98506-5133Phone(360) 493-7060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseSC60931268WashingtonCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCG60678600Washington