Provider Demographics
NPI:1265232813
Name:LANE BARRETT COUNSELING LLC
Entity type:Organization
Organization Name:LANE BARRETT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-608-6066
Mailing Address - Street 1:1410 NICOLLET AVE APT 329
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2607
Mailing Address - Country:US
Mailing Address - Phone:703-209-1983
Mailing Address - Fax:
Practice Address - Street 1:1410 NICOLLET AVE APT 329
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2607
Practice Address - Country:US
Practice Address - Phone:703-209-1983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty