Organization
CREATING GREATER LANES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE LANE LPC (CEO)
(757) 231-5107
Entity
Organization
Contact information
Practice address
1706 TODDS LN # 254, HAMPTON, VA 23666-3123
(757) 715-5263
Mailing address
1706 TODDS LN # 254, HAMPTON, VA 23666-3123
(757) 231-5107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
06/04/2021
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