MS. DEBORAH MARJORIE WELLS LANE (NPI# 1770608945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770608945 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH MARJORIE WELLS LANE |
| Credential | LCPC |
| Practice Address |
100 Owings Court Ste 8 Reisterstown MD 21136 |
| Mailing Address |
10400 Ridgland Road Ste 1 Cockeysville MD 21030 |
| Practice Telephone | 4105267100 |
| Practice Fax Number | 4105267138 |
| Mailing Telephone | 4106286120 |
| Mailing Fax Number | 4106289825 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC2328 | MD | Behavioral Health & Social Service Providers |
| Street Address |
100 OWINGS COURT STE 8 |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023100088 | Jeffrey David Gary | Psychologist | 100 Owings Court, Ste 8, Reisterstown, MD 21136 | 2006-09-28 |
| 1962772129 | Kristin Kathleen Broderick | Marriage & Family Therapist | 100 Owings Court, Suite 8, Reisterstown, MD 21136 | 2012-01-05 |
| 1437372547 | Jennifer L Pemberton | Counselor | 100 Owings Court, Ste 8, Reisterstown, MD 21136 | 2007-04-10 |
| 1336225077 | Devon Anthony Blackwood | Counselor | 100 Owings Court, Ste 8, Reisterstown, MD 21136 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750797841 | Rebecca Harrison Radcliffe | Counselor | 143 Main St Rear Building, Reisterstown, MD 21136-1252 | 2014-07-09 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1093066391 | Marsha Ann Swilley | Counselor | 520 Education Way, Reisterstown, MD 21136-6041 | 2012-09-26 |
| 1700104106 | Holly R Wade | Counselor | 36 Farm Gate Way, Reisterstown, MD 21136-1125 | 2010-05-10 |
| 1578106704 | Philip Browning | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2019-10-21 |
| 1336635515 | Tijana Jirecek | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2018-07-10 |
| 1801306139 | Patricia Estes | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2017-09-29 |
| 1598283285 | Kaitlin Alexandra Ames | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2017-09-02 |
| 1134678154 | Caroline Anne Cinquino Miller | Counselor | 239 Main St, Reisterstown, MD 21136 | 2016-10-03 |
| 1871947606 | Mika Renee Singer | Counselor | 100 Owings Ct Ste 12, Reisterstown, MD 21136-6434 | 2016-04-18 |
| Find all providers in REISTERSTOWN | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
Please comment or provide details below to improve the information on MS. DEBORAH MARJORIE WELLS LANE.
| 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.