Provider Demographics
NPI:1477880748
Name:LANE, SHARI LUANNE (MED, LPC)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:LUANNE
Last Name:LANE
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:MS
Other - First Name:SHARI
Other - Middle Name:LUANNE
Other - Last Name:LANE
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:MED, LPC
Mailing Address - Street 1:440 MONTFORD AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1015
Mailing Address - Country:US
Mailing Address - Phone:828-251-1516
Mailing Address - Fax:
Practice Address - Street 1:440 MONTFORD AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1015
Practice Address - Country:US
Practice Address - Phone:828-251-1516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-07
Last Update Date:2009-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC823OtherLICENSED PROFESSIONAL COUNSELOR