LANE GORMLEY

KENNESAW, GA
NPI1356677504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC005090)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  LPC005090)
101YM0800X Counselor, Mental Health
(Licence: GA  LPC005090)
Enumeration Date2009-10-22
Last Update Date2009-10-22
Business Address
-- LANE GORMLEY LPC
1050 SHILOH RD NW SUITE 316
KENNESAW, GA 30144-7194
Phone number: 678-213-2215
Mailing Address
-- LANE GORMLEY LPC
2575 PEACHTREE RD NE UNIT 23A
ATLANTA, GA 30305-3694
Phone number: 404-814-9468