Individual provider · Type 1 NPI
Tisha Jane Lane, MS, LMHC
Mental Health Counselor · Fort Myers, FL
NPI number
1679905699
Active
Practice location
15879 Willoughby Ln
Fort Myers, FL 33905-2416
Fax (941) 275-6307
Other practice locations
- 1853 Victoria Ave, Fort Myers, FL 33901-3428 · (239) 841-5835
- 475 Biltmore Way Ste 109, Coral Gables, FL 33134-5724 · (415) 424-4266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH18110 (FL) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1679905699
Tisha Jane Lane, MS, LMHC's National Provider Identifier is 1679905699, issued on Aug 1, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Myers, FL. The record was last updated on Aug 8, 2025.