Trucker'S Lane LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRUCKER'S LANE LLC

Practice address

1740 S Martin Luther King Jr Ave
Salisbury, NC 28144-5601

Phone

(704) 200-8751

NPI assigned

Sep 10, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Latasha Gidderon, CPSS

Title

Owner/Managing Member

Phone

(704) 200-8751

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1023928165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 S MARTIN LUTHER KING JR AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445601",
            "telephone_number": "704-200-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 S MARTIN LUTHER KING JR AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445601",
            "telephone_number": "704-200-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCKER'S LANE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "GIDDERON",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "704-200-8751",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPSS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Annie Lee Tucker, MSW, LCSW
• Lee Jay Tucker, PHARMD; RPH
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• Community/Behavioral Health Agency in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.