=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912141672
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANET MEAD LANCI L.P.C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/26/2009
-----------------------------------------------------
Last Update Date | 04/26/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 161 PINES BRIDGE RD
-----------------------------------------------------
City | BEACON FALLS
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06403-1017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-243-1735
-----------------------------------------------------
Fax | 203-888-9063
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 161 PINES BRIDGE RD
-----------------------------------------------------
City | BEACON FALLS
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06403-1017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-243-1735
-----------------------------------------------------
Fax | 203-888-9063
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 001260
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------