| Pamela J Lane, MED, LPC | |
|
6862 Bendwood, (home Office), College Station, TX 77845-3769 | |
| (979) 220-2906 | |
| Not Available |
| Full Name | Pamela J Lane |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6862 Bendwood, College Station, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700068749 | NPI | - | NPPES |
| 1550972-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 18017 (Texas) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela J Lane, MED, LPC Po Box 9305, College Station, TX 77842-9305 Ph: (979) 220-2906 | Pamela J Lane, MED, LPC 6862 Bendwood, (home Office), College Station, TX 77845-3769 Ph: (979) 220-2906 |
Melissa Silva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4189 State Highway 6 S, College Station, TX 77845 Phone: 979-353-1161 | |
Heather Leigh Reynolds, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 Texas Ave S Ste 204d, College Station, TX 77840 Phone: 832-856-1020 | |
Mrs. Laura Baker Brown, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Rock Prairie Rd, Suite B, College Station, TX 77845 Phone: 979-696-5556 Fax: 979-694-7337 | |
Andrea Atkins Boldt, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2809 Earl Rudder Fwy S Ste 203, College Station, TX 77845 Phone: 210-413-3297 | |
Mr. Jared A Meyer, LPC INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Rock Prairie Rd Ste A, College Station, TX 77845 Phone: 979-229-7636 | |
Danielle Cook, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2748 Longmire Dr, College Station, TX 77845 Phone: 979-777-1683 | |
Mr. David R Wells, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 William D Fitch Pkwy Ste 111, C/o Cs Christian Counseling, College Station, TX 77845 Phone: 979-216-3020 |