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Contact Information

TYRONE D. LANE ENTERPRISES, INCORPORATED
5304 PANOLA INDUSTRIAL BOULEVARD
SUITE L
DECATUR, GA30035
 Phone: 678-677-4041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Community/Behavioral Health

251S00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for TYRONE D. LANE ENTERPRISES, INCORPORATED

NPI # 1972927861
LBN Legal business name TYRONE D. LANE ENTERPRISES, INCORPORATED
Authorized official TYRONE LANE - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2014
Last updated 02/12/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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