Organization
LANE COUNSELING AND COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LANE LPCC (OWNER/THERAPIST)
(513) 909-2497
Entity
Organization
Contact information
Practice address
6794 RICHARD AVE, CINCINNATI, OH 45224-1148
(513) 909-2497
Mailing address
6794 RICHARD AVE, CINCINNATI, OH 45224-1148
(513) 909-2497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0372170
—
OH
Enumeration date
12/09/2020
Last updated
12/09/2020
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