Individual ProviderLeanna J. Tomlin-LangeCounselorBehavioral Health & Social Service ProvidersPractice Address925 S Spring St, Suite B, Springfield, IL 62704-2784(217) 528-1988PECOS EnrollmentBased on the most recent information from CMS, provider Leanna J. Tomlin-Lange 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 yesterday at 12:57 PM.Profile DetailsProvider ID1215253075Provider TypeIndividualFull NameTomlin-Lange, Leanna J.TitleMs.CredentialMA, LCPC, CADCGenderFemaleSole ProprietorNoEnumeration Date4/19/2010Last Updated4/19/2010Contact InformationPractice LocationPractice Address925 S Spring St, Suite B, Springfield, IL 62704-2784Phone(217) 528-1988Fax(217) 528-1989Mailing LocationMailing Address925 So. Spring Street, Suite B, Springfield, IL 62704Phone(217) 528-1988Fax(217) 528-1989Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180.006377Illinois