Provider Demographics
NPI:1700165511
Name:O'QUINN, LANA KAY (LPC-SUPERVISOR)
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:KAY
Last Name:O'QUINN
Suffix:
Gender:F
Credentials:LPC-SUPERVISOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6023
Mailing Address - Country:US
Mailing Address - Phone:214-532-2906
Mailing Address - Fax:
Practice Address - Street 1:904 S PINE ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-6023
Practice Address - Country:US
Practice Address - Phone:214-532-2906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19732101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional