Provider Demographics
NPI:1003337635
Name:CONNER, LANECHA R (LCPC)
Entity type:Individual
Prefix:DR
First Name:LANECHA
Middle Name:R
Last Name:CONNER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3408 WALL TRIANA HWY UNIT 6527
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35813-2021
Mailing Address - Country:US
Mailing Address - Phone:702-803-2463
Mailing Address - Fax:
Practice Address - Street 1:3408 WALL TRIANA HWY UNIT 6527
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35813-2021
Practice Address - Country:US
Practice Address - Phone:702-803-2463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2024-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP0210101YP2500X
GALPC013283101YP2500X
IL180.010667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional