PROF. WILLIAM DAVID LANE (NPI# 1932325289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932325289 |
| Entity Type | Individual |
| Full Name | PROF. WILLIAM DAVID LANE |
| Credential | PH.D. |
| Practice Address |
14 Eastbrook Bnd Suite 201 Peachtree City GA 30269-1530 |
| Practice Telephone | 7707161444 |
| Practice Fax Number | 6786692693 |
| Mailing Telephone | 7707161444 |
| Mailing Fax Number | 6786692693 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC001745 | GA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFT000754 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AETNA | 7045899 | 01 |
| GA | BCBS | 52205944 | 01 |
| GA | PROFESSIONAL COUNSELOR | LPC001745 | 01 |
| GA | MARRAIGE & FAMILY THERAP | MFT000754 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794751 | William Jay Lane | In Home Supportive Care | 410 Westgate Dr Unit A, Cleves, OH 45002-1144 | 2020-09-15 |
| 1952422966 | William Michael Lane | Dentist | 208 N Haddon Ave, Haddonfield, NJ 08033-2323 | 2007-04-03 |
| 1962420646 | William Blake Lane | Dentist | 6440 Bradley Park Dr, Columbus, GA 31904-3082 | 2006-07-18 |
| 1942246772 | William Henry Lane | Family Medicine | 2006 Shaw Ave, Clovis, CA 93611-4192 | 2006-06-21 |
| 1417581729 | William Lane | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-02-25 |
| 1548752058 | William Lane | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2018-05-31 |
| 1124542147 | William Bradford Lane Jr. | Counselor | 409 Washington Ave, Pocatello, ID 83201-4520 | 2017-08-01 |
| 1366805558 | William Edward Lane | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2016-04-04 |
| 1356700595 | William Lane | Home Health Aide | 1810 N Main St, Sumter, SC 29153-8688 | 2016-02-16 |
| 1386084374 | William C Lane IIi | Behavioral Analyst | 5135 Camino Al Norte, Suite 255, North Las Vegas, NV 89031-2387 | 2013-07-05 |
| Street Address |
14 EASTBROOK BND SUITE 201 |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205816444 | Diana Evans Berman | Social Worker | 14 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2006-01-20 |
| 1053866970 | Nourishing Nutrition Consulting LLC | Dietitian, Registered | 14 Eastbrook Bnd, Suite 212, Peachtree City, GA 30269-1530 | 2016-08-20 |
| 1689127599 | Laura Marchese | Dietitian, Registered | 14 Eastbrook Bnd, Suite 212, Peachtree City, GA 30269-1530 | 2016-07-27 |
| 1710315239 | Family Matters Counseling Center, Inc | Community/Behavioral Health | 14 Eastbrook Bnd, Suite 218, Peachtree City, GA 30269-1530 | 2013-10-18 |
| 1073896718 | Covenant Chiropractic, L.c.c. | Chiropractor | 14 Eastbrook Bnd, Suite 204, Peachtree City, GA 30269-1530 | 2011-09-20 |
| 1144407255 | Elliott Marshall Segal | Chiropractor | 14 Eastbrook Bnd, Suite 204, Peachtree City, GA 30269-1530 | 2008-01-31 |
| 1487725677 | Paula T Abrams | Marriage & Family Therapist | 14 Eastbrook Bnd, Suite 210, Peachtree City, GA 30269-1530 | 2006-11-11 |
| 1114997152 | Gary Steven Siliski | Counselor | 14 Eastbrook Bnd, Suite 103, Peachtree City, GA 30269-1530 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578192191 | Victoria Megan Arnold | Counselor | 313 Dividend Dr, Peachtree City, GA 30269-1949 | 2020-04-06 |
| 1912556184 | Donna V Owen | Counselor | 6000 Shakerag Hl Ste 308, Peachtree City, GA 30269-6523 | 2019-09-10 |
| 1720561152 | Christina Preyor | Counselor | 277 Highway 74 N Ste 306, Peachtree City, GA 30269-1571 | 2018-09-12 |
| 1407336530 | Rachel Mcbrayer | Counselor | 313 Dividend Dr Ste 100, Peachtree City, GA 30269-1916 | 2018-08-17 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| 1801301742 | Tammy Barron Melton | Counselor | 1952 Highway 54 W Ste 100, Peachtree City, GA 30269-4760 | 2017-12-13 |
| 1417485137 | Lynn Matti Keel | Counselor | 325 Barberry Ln, Peachtree City, GA 30269-4295 | 2017-05-25 |
| 1235672098 | Amor Kok | Counselor | 102 Country Club Ct, Peachtree City, GA 30269-1311 | 2016-11-28 |
| 1043682420 | Crystal Johnson | Counselor | 1303 Commerce Dr, Peachtree City, GA 30269-3566 | 2015-10-26 |
| 1508247271 | Allison N Rentz | Counselor | 354 Senoia Rd, Peachtree City, GA 30269-1055 | 2015-06-17 |
| Find all providers in PEACHTREE CITY | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
Please comment or provide details below to improve the information on PROF. WILLIAM DAVID 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.