Individual
STEPHANIE LANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, APC, NCC
Contact information
Practice address
108 E PONCE DE LEON AVE, DECATUR, GA 30030-2512
(404) 513-2852
Mailing address
1048 SAINT CHARLES AVE NE APT 3, ATLANTA, GA 30306-4274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009853
GA
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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