DAVID BALLARD LANE JR. (NPI# 1356481014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356481014 |
| Entity Type | Individual |
| Full Name | DAVID BALLARD LANE JR. |
| Credential | LMSW, LLP, LPC |
| Practice Address |
1199 Harris Ave Tawas City MI 48763-9681 |
| Mailing Address |
1635 Douglas Dr Tawas City MI 48763-9422 |
| Practice Telephone | 9893628636 |
| Mailing Telephone | 9893628636 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
6401000213 | MI | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 6301003884 | MI | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
6801016231 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LPC | 6401000213 | 01 |
| MI | LLP | 6301003884 | 01 |
| MI | LMSW | 6801016231 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779463 | David Hubbell Lane | Driver | 712 Ashbury St, San Francisco, CA 94117-4014 | 2020-01-15 |
| 1447601273 | David Lane | Dentist | 95 Old Dixie Hwy Ste A, Adairsville, GA 30103-2044 | 2016-06-22 |
| 1265788988 | David M. Lane | Veterinarian | 1023 County Road 700 E, Albion, IL 62806-4438 | 2012-07-31 |
| 1821236688 | David Holt Lane | Anesthesiology | 50 Interlachen Ln, Excelsior, MN 55331-9469 | 2009-01-30 |
| 1295927176 | David Lane | Occupational Therapy Assistant | 19 Briarmist Ct, O Fallon, MO 63366-6318 | 2007-08-14 |
| 1225138100 | David R Lane | Chiropractor | 75 E 600 S, Brigham City, UT 84302-3227 | 2006-09-22 |
| 1346343407 | David Forrest Lane | Dentist | 1855 Crane Ridge Drive, Suite D, Jackson, MS 39216 | 2006-09-06 |
| 1114979440 | David L Lane | Family Medicine | Building 160 Dogwood Avenue, Mountain Home, TN 37684 | 2006-05-16 |
| 1053312249 | David Allen Lane | Family Medicine | 1 Jarrett White Road, Headquarters Unit, Tripler Army Medical Center, Honolulu, HI 96859-5000 | 2005-08-10 |
| 1871155739 | David Lane | Dentist | 370 Kings Mall Ct, Kingston, NY 12401-1576 | 2019-07-01 |
| Street Address |
1199 HARRIS AVE |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48763-9681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659410041 | John Christopher Moran | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2007-02-05 |
| 1063023877 | Jennifer Verbeke | Case Manager/Care Coordinator | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-08-14 |
| 1588286249 | Erica Ann Martin | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-05-15 |
| 1952930067 | Cheryl Ann Birkenbach | Registered Nurse | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-04-02 |
| 1316573868 | Vera Lee Middleton | Counselor | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-03-17 |
| 1265077143 | Amanda Piglowski | Case Manager/Care Coordinator | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2019-11-14 |
| 1972060564 | Laurie Miller | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2019-03-01 |
| 1902374176 | Morgan Taylor Wynkoop | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-11-06 |
| 1396210753 | Bryan Blattert | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-10-11 |
| 1992289656 | Sydney Simpson Larsen | Counselor | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447006 | Josie Short | Student in an Organized Health Care Education/Training Program | 127 Wheeler Street, Tawas, MI 48763 | 2016-02-16 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
| 1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
| 1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
| 1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
| 1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
| 1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
| Find all providers in zip 48763 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316573868 | Vera Lee Middleton | Counselor | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-03-17 |
| 1760526073 | David L Beck | Counselor | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073367 | Lisa Joanne Lindemann | Counselor | 764 Basswood Dr, Rochester Hills, MI 48309-1713 | 2020-11-08 |
| 1891396891 | Sonda Lasha Thomas | Counselor | 38 W Henry St, River Rouge, MI 48218-1359 | 2020-11-05 |
| 1700487931 | Cjt Solutions | Counselor | 351 Coventry Ln, Mason, MI 48854-1162 | 2020-11-04 |
| 1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
| 1265032148 | Ashley Capaldi | Counselor | 8500 Oak Park Blvd, Oak Park, MI 48237-1848 | 2020-10-29 |
| 1538769542 | Sherie Justine Posie | Counselor | 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 | 2020-10-28 |
| 1477152445 | True North Holistic Health and Wellness, LLC | Counselor | 5472 Belsay Rd, Grand Blanc, MI 48439-9129 | 2020-10-21 |
| 1881293819 | Breakthrough L.L.C. | Counselor | 38847 Parkview Dr, Clinton Twp, MI 48036-3826 | 2020-10-21 |
| 1790384998 | Amanda Nicole Lambert | Counselor | 1919 Gratiot Ave, Saginaw, MI 48602-2763 | 2020-10-20 |
| 1285233437 | Emmitt Melvin Davis Jr. | Counselor | 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | TAWAS CITY |
| Zip Code | 48763 |
Please comment or provide details below to improve the information on DAVID BALLARD LANE JR..
| 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.