# 464 WELLNESS SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lane Medical LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285314088
- **Authorized official:** KAYLA LANE NP (CEO)
- **Authorized official phone:** (706) 207-5860

## Contact information

- **Practice address:** 3184 TURMAN RD, EDISON, GA 39846-7407
- **Practice address phone:** (706) 916-7716
- **Mailing address:** PO BOX 822, COOLIDGE, GA 31738-0822
- **Mailing address phone:** (706) 916-7716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2023
- **Last updated:** 07/18/2023