Individual provider · Type 1 NPI
Timothy Stanley Lane, M.DIV. AND D.MIN.
Pastoral Counselor · Peachtree City, GA
NPI number
1295334639
Active
Practice location
50 Eastbrook Bnd Ste B
Peachtree City, GA 30269-1530
Mailing address
320 Sidney Ln
Fayetteville, GA 30215-7646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | None listed |
Pastoral Counselor: Definition to come...
About NPI 1295334639
Timothy Stanley Lane, M.DIV. AND D.MIN.'s National Provider Identifier is 1295334639, issued on Oct 17, 2020. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Peachtree City, GA. The record was last updated on Oct 17, 2020.