Healthcare Provider Details

I. General information

NPI: 1922943596
Provider Name (Legal Business Name): KATELYN ANNE LANE M.ED, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1318 ALFORD AVE STE 101
HOOVER AL
35226-3167
US

IV. Provider business mailing address

805 LINBARD LN
VESTAVIA AL
35226-2813
US

V. Phone/Fax

Practice location:
  • Phone: 205-213-0909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC05946
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: