Lane, Teresa

Lane, Teresa is an individual health care provider with primary practice located at 1107 48Th Ave N Ste 310F , Myrtle Beach SC 29577-5443. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lane, Teresa can be contacted via phone (843) 457-1615.

Contact Information

Primary practice address
1107 48Th Ave N Ste 310F Myrtle Beach SC 29577-5443
Phone: (843) 457-1615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1744 South Carolina

Profile Details

NPI number 1801959564
LBN Legal business name Lane, Teresa
Credentials LISW AP CP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2006
Last updated Aug 21st, 2019 - about 6 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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