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Organization
DANA LANE
Active
Organization
DANA LANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA LANE LMHC (SOLE PROPRIETOR)
(813) 240-5769
Entity
Organization
Contact information
Practice address
14502 N DALE MABRY HWY, SUITE 200-52, TAMPA, FL 33618-2075
(813) 240-5769
(813) 932-2588
Mailing address
2108 W FORE DR, TAMPA, FL 33612-5005
(813) 240-5769
(813) 932-2588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 2860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002664200
—
FL
Enumeration date
09/07/2012
Last updated
09/07/2012
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