1235502972 NPI number — MS. GINA LYN LANE AALUND LCSW, PLLC

Table of content: MS. GINA LYN LANE AALUND LCSW, PLLC (NPI 1235502972)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235502972 NPI number — MS. GINA LYN LANE AALUND LCSW, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AALUND
Provider First Name:
GINA
Provider Middle Name:
LYN LANE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW, PLLC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235502972
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/06/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2140 E SOUTHLAKE BLVD
Provider Second Line Business Mailing Address:
SUITE L-658
Provider Business Mailing Address City Name:
SOUTHLAKE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76092-6516
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-907-5233
Provider Business Mailing Address Fax Number:
972-907-5231

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2150 LAKESIDE BLVD
Provider Second Line Business Practice Location Address:
225E
Provider Business Practice Location Address City Name:
RICHARDSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75082-4302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-907-5233
Provider Business Practice Location Address Fax Number:
972-907-5231
Provider Enumeration Date:
11/03/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  26459 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com