LANE TREATMENT CENTER, LLC (NPI# 1184695744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184695744 |
| Entity Type | Organization |
| Organization Name | LANE TREATMENT CENTER, LLC |
| Practice Address |
2117 Maryland Ave Suite 400 Baltimore MD 21218-5614 |
| Practice Telephone | 4102447350 |
| Practice Fax Number | 4102447351 |
| Mailing Telephone | 4102447350 |
| Mailing Fax Number | 4102447351 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | KAREN REESE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4108374292 |
| Authorized Official Credential | CAC-AD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MH-1870 | MD | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MH-1858 | MD | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
905345 | MD | Ambulatory Health Care Facilities |
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
900128 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 419787900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023470440 | Lane Treatment Center, LLC | Clinic/Center | 2117 Maryland Ave, Suite 400, Baltimore, MD 21218-5614 | 2016-03-24 |
| 1598126740 | Lane Treatment Center, LLC | Rehabilitation Counselor | 2117 Maryland Ave, Suite 400, Baltimore, MD 21218-5614 | 2016-03-16 |
| Street Address |
2117 MARYLAND AVE SUITE 400 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255312203 | Man Alive, Inc. | Clinic/Center | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2005-11-08 |
| 1174176853 | Colleen Harnish Herbert | Social Worker | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2019-07-22 |
| 1023470440 | Lane Treatment Center, LLC | Clinic/Center | 2117 Maryland Ave, Suite 400, Baltimore, MD 21218-5614 | 2016-03-24 |
| 1598126740 | Lane Treatment Center, LLC | Rehabilitation Counselor | 2117 Maryland Ave, Suite 400, Baltimore, MD 21218-5614 | 2016-03-16 |
| 1639545635 | Kimberly Bonsiero | Social Worker | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2015-08-13 |
| 1689098089 | Susan Lynn Doyle | Registered Nurse | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2014-02-06 |
| 1013330158 | Jeffrey Michael Galecki | Counselor | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2014-01-25 |
| 1841514908 | Lane Treatment Center | Counselor | 2117 Maryland Ave, Suite 400, Baltimore, MD 21218-5614 | 2010-03-18 |
| 1982927117 | David Engwall | Counselor | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2010-03-02 |
| 1437488053 | Man Alive, Inc. | Counselor | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2009-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508352659 | Devout Healthcare Services Inc. | Clinic/Center | 6600 York Rd Ste 104, Baltimore, MD 21212-2092 | 2018-07-02 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1740707140 | Global Healthcare Systems, Inc | Clinic/Center | 1045 Taylor Ave Ste 104, Baltimore, MD 21286-8315 | 2017-08-25 |
| 1962893768 | St Paul & Biddle Medical Assoc. | Clinic/Center | 1721 Ramblewood Rd, Baltimore, MD 21239-3040 | 2015-02-15 |
| 1255312203 | Man Alive, Inc. | Clinic/Center | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2005-11-08 |
| 1437759735 | Choices Integrative Healthcare, Inc. | Clinic/Center | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-27 |
| 1295214617 | Compassionate Health Services LLC | Clinic/Center | 9403 Harford Rd Ste 6, Baltimore, MD 21234-3123 | 2018-08-07 |
| 1275022170 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1174077796 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1427502046 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.