LANTERN MENTAL HEALTH INC (NPI# 1073802351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073802351 |
| Entity Type | Organization |
| Organization Name | LANTERN MENTAL HEALTH INC |
| Practice Address |
438 R 10 Pineville WV 24874-0274 |
| Mailing Address |
Po Box 274 Pineville WV 24874-0274 |
| Practice Telephone | 3047320071 |
| Practice Fax Number | 3047320070 |
| Mailing Telephone | 3047320071 |
| Mailing Fax Number | 3047320070 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | MR. DAVID BRANDON LAWSON (OWNER OF LANTERN MENTAL HEALTH INC) |
| Authorized Official Telephone | 3047320071 |
| Authorized Official Credential | MA-CLINICAL PSYC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1014 | WV | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
1014 | WV | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1014 | WV | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
1014 | WV | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1014 | WV | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
1014 | WV | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
1014 | WV | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
1014 | WV | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1014 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810019842 | 05 |
| Street Address |
438 R 10 |
| City | PINEVILLE |
| State | WV |
| Zip Code | 24874-0274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999775 | Frankie Lynn Adkins | Technician | 91 Blackberry St, Pineville, WV 24874 | 2020-10-13 |
| 1104430313 | Leeann Mae Morgan | Technician | 457 Bowman Bottom Rd, Pineville, WV 24874 | 2020-09-04 |
| 1093329757 | Destiny Lafferty | Technician | 457 Bowman Bottom Rd., Pineville, WV 24874 | 2020-09-01 |
| 1942813027 | Jenny Marie Hatfield | Technician | 308 River View Ave, Pineville, WV 24874 | 2020-08-28 |
| 1124591920 | Ashley Nicole Lusk | Counselor | 438 River Drive, Pineville, WV 24874 | 2019-01-04 |
| 1174040604 | Walgreen Co | Pharmacy | 448 Appalachian Hwy, Pineville, WV 24874 | 2017-08-25 |
| 1265719256 | Stat Ems, LLC. | Non-emergency Medical Transport (VAN) | 84-b Main Ave, Pineville, WV 24874 | 2011-11-04 |
| 1225337652 | Omotayo Julieanne Aborisade | Pharmacist | Route 10, Main Strret, Pineville, WV 24874 | 2011-03-24 |
| 1609175520 | Irene B Menego | Pharmacist | 418 Applician Highway, Pineville, WV 24874 | 2011-03-17 |
| 1396989604 | Angela Kaye Cook | Psychologist | 483 Appalachian Highway, Suite 2, Pineville, WV 24874 | 2009-04-30 |
| Find all providers in zip 24874 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447789367 | Grace Community Health Center Inc | Psychologist | 9821 Us Highway 25 E, Pineville, KY 40977-8581 | 2017-06-05 |
| 1396989604 | Angela Kaye Cook | Psychologist | 483 Appalachian Highway, Suite 2, Pineville, WV 24874 | 2009-04-30 |
| 1053454496 | Roderick E. Adams | Psychologist | 2631 Donahue Ferry Rd, Pineville, LA 71360-4433 | 2007-02-15 |
| 1629131032 | Yolanda R Rambin | Psychologist | 242 W Shamrock, Unit 1, Pineville, LA 71360-6439 | 2006-12-18 |
| 1144313693 | Fay Carol Thrasher | Psychologist | 2495 Shreveport Hwy 71n, Pineville, LA 71360 | 2006-10-02 |
| 1053797639 | Danielle Paul | Psychologist | 122 Hillsdale Dr, Pineville, LA 71360-6856 | 2015-08-05 |
| 1851775886 | Shawanda Woods | Psychologist | 122 Hillsdale Dr, Pineville, LA 71360-6856 | 2015-07-20 |
| 1316240476 | Jennifer Lynn Tucker | Psychologist | 2495 Shreveport Hwy 71, Pineville, LA 71360 | 2010-12-13 |
| 1194968818 | Leslie Root Drew | Psychologist | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2009-04-10 |
| 1477792513 | Julia Denise Lott | Psychologist | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2009-02-12 |
| Find all providers in PINEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.