Individual
TARA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
710 JOHNNIE DODDS BLVD STE 200, MOUNT PLEASANT, SC 29464-3045
(843) 800-1303
(888) 316-7716
Mailing address
2513 DANIEL ISLAND DR, DANIEL ISLAND, SC 29492-8904
(609) 412-8789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7332
SC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7332
SC
Other
Enumeration date
03/24/2015
Last updated
05/07/2025
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