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General NPI Number Information
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NPI Number | 1922943596
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Entity Type | Individual
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Provider Name | KATELYN ANNE LANE M.ED, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 1318 ALFORD AVE STE 101
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City | HOOVER
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State | AL
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Zip | 35226-3167
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Country | US
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Telephone | 205-213-0909
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Fax |
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Provider Business Mailing Address
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Address Line | 805 LINBARD LN
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City | VESTAVIA
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State | AL
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Zip | 35226-2813
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC05946
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License Number State | AL
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