Jeremy David Lane, LPC, NCC - Counselor in Rome, GA

Jeremy David Lane, LPC, NCC is a Counselor - Mental Health based in Rome, Georgia. Jeremy David Lane is licensed to practice in Georgia (license number LPC006218) and his current practice location is 309 E 3rd St Apt 5, Rome, Georgia. He can be reached at his office (for appointments etc.) via phone at (404) 425-6264.

NPI number for Jeremy David Lane is 1154695625 and his current mailing address is 309 East 3rd St. (apt. 5), Rome, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154695625.

Contact Information

Jeremy David Lane, LPC, NCC
309 E 3rd St Apt 5,
Rome, GA 30161-3194
(404) 425-6264
Not Available

Healthcare Provider's Profile

Full NameJeremy David Lane
GenderMale
SpecialityCounselor - Mental Health
Location309 E 3rd St Apt 5, Rome, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154695625
  • Provider Enumeration Date: 03/01/2012
  • Last Update Date: 03/01/2012

Medical Identifiers

Medical identifiers for Jeremy David Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154695625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC006218 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeremy David Lane is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeremy David Lane, LPC, NCC
309 East 3rd St. (apt. 5),
Rome, GA 30161

Ph: (404) 425-6264
Jeremy David Lane, LPC, NCC
309 E 3rd St Apt 5,
Rome, GA 30161-3194

Ph: (404) 425-6264

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Counselor in Rome, GA

Mary Beth Housch,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 701 E 2nd Ave Sw, Rome, GA 30161
Phone: 706-506-6071    
Kenneth Tyrone Jones Jr.,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 415 Robin Hood Rd Ne, Rome, GA 30161
Phone: 706-409-3956    
Greta Willoughby, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 18 Ridge Dr Sw, Rome, GA 30165
Phone: 706-506-1079    Fax: 706-233-8335
Carrie Marie Edge, MC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 701 E 2nd Ave Sw, Rome, GA 30161
Phone: 706-413-2421    
Kara Hicks,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 160 Three Rivers Dr Ne, Rome, GA 30161
Phone: 706-622-3681    
Marie Fraser,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 14 Wagnon Ct Se, Rome, GA 30161
Phone: 770-853-3627    
Mrs. Julie Oglesby Allen, MA, LAPC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1 S Broad St Sw Ste 5, Rome, GA 30161
Phone: 706-314-8696    

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