| Creating Greater Lanes | |
|
1706 Todds Ln # 254 Hampton VA 23666-3123 | |
| (757) 715-5263 | |
| Not Available |
| Full Name | Creating Greater Lanes |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1706 Todds Ln # 254, Hampton, Virginia |
| Authorized Official Name and Position | Vickie Lane (CEO) |
| Authorized Official Contact | 7572315107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Greater Lanes 1706 Todds Ln # 254 Hampton VA 23666-3123 Ph: (757) 231-5107 | Creating Greater Lanes 1706 Todds Ln # 254 Hampton VA 23666-3123 Ph: (757) 715-5263 |
| NPI Number | 1841889763 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841889763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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