Organization
LANE FAMILY CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DIANE LANE LSW (OWNER)
(304) 677-9324
Entity
Organization
Contact information
Practice address
5862 OLD ELKINS RD, BUCKHANNON, WV 26201-4903
(304) 677-9324
Mailing address
5862 OLD ELKINS RD, BUCKHANNON, WV 26201-4903
(304) 677-9324
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
23037538
WV
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
23037538
WV
251S00000X
Community/Behavioral Health Agency
23037538
WV
252Y00000X
Early Intervention Provider Agency
23037538
WV
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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