LANE GORMLEY, LPC

Counselor - Professional

Active Individual
NPI: 1356677504

Practice Address

1050 SHILOH RD NW
SUITE 316
Kennesaw, GA 30144

Phone: (678) 213-2215

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No LPC005090 (GA)
Counselor - Mental Health 101YM0800X No LPC005090 (GA)
Counselor - Professional 101YP2500X Yes LPC005090 (GA)

Frequently Asked Questions

NPI 1356677504 is the National Provider Identifier for LANE GORMLEY, LPC, a Counselor - Professional provider located in Kennesaw, GA. This NPI was enumerated on October 22, 2009.
LANE GORMLEY, LPC practices at 1050 SHILOH RD NW, SUITE 316, Kennesaw, GA 30144.

Quick Facts

NPI
1356677504
Type
Individual
Enumerated
Oct 22, 2009
Last Updated
Oct 22, 2009

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