Lane, Katrina G

Lane, Katrina G is an sole proprietor health care provider with primary practice located at 621 Lockwood Dr , Richardson TX 75080-5604. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Lane, Katrina G can be contacted via phone (972) 437-4222.

Contact Information

Primary practice address
621 Lockwood Dr Richardson TX 75080-5604
Phone: (972) 437-4222
Fax: (214) 295-6512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 12026 Texas
Behavioral Health & Social Service Providers / School 103TS0200X 31818 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4517 Texas

Profile Details

NPI number 1013071737
LBN Legal business name Lane, Katrina G
Credentials MS, LPC, LMFT, LSSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013071737 NPPES
Texas MEDICAID LP0008996

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