DR. TIMOTHY STANLEY LANE M.DIV. AND D.MIN.
NPI 1295334639
Counselor - Pastoral in Peachtree City, GA
Active since October 17, 2020
About Dr. Timothy Stanley Lane M.div. And D.min. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY STANLEY LANE M.DIV. AND D.MIN. (NPI 1295334639) is an individual pastoral provider in Peachtree City, Georgia and active in the NPI registry since October 2020.
NPPES Registry Identity
NPI1295334639
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameDR. TIMOTHY STANLEY LANECredential: M.DIV. AND D.MIN.
Location Address50 EASTBROOK BND STE BPeachtree City, GA 30269-1530
Mailing Address320 Sidney LnFayetteville, GA 30215-7646 · (770) 371-6821
Phone(678) 519-5259
Sole ProprietorYes
Enumeration DateOctober 17, 2020
NPPES CertifiedOctober 17, 2020
✔ NPI 1295334639 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
50 EASTBROOK BND STE B, Peachtree City, GA 30269
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295334639, enumerated as an "individual" on October 17, 2020.
The provider is located at 50 EASTBROOK BND STE B PEACHTREE CITY, GA 30269 and the phone number is (678) 519-5259.
Counselor with taxonomy code 101YP1600X and a focus in Pastoral.