Individual provider · Type 1 NPI

Micah Grant Lane, MA, LPC

Professional Counselor · Tulsa, OK

NPI number 1811214083 Active

Practice location

6400 S Lewis Ave Ste 100
Tulsa, OK 74136-1019

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC05479 (OK)

Professional Counselor: Definition to come...

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About NPI 1811214083

Micah Grant Lane, MA, LPC's National Provider Identifier is 1811214083, issued on Apr 28, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tulsa, OK. The record was last updated on Jul 22, 2025.