1710422589 NPI number — MRS. LANEE ROSE WILLIAMS MFT

Table of content: MRS. LANEE ROSE WILLIAMS MFT (NPI 1710422589)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710422589 NPI number — MRS. LANEE ROSE WILLIAMS MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
LANEE
Provider Middle Name:
ROSE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WEESNER
Provider Other First Name:
LANEE
Provider Other Middle Name:
ROSE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1710422589
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
969 COURTYARDS LOOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95648-7216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-673-9420
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
969 COURTYARDS LOOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95648-7216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-673-9420
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/03/2017

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: 106H00000X , with the licence number:  LMFT81816 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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