Rasheda W Lane

Individual provider Active NPI Mental Health Counselor · Greenville, FL

NPI 1275409013 · NPPES record last updated Oct 16, 2025

Key facts

NPI
1275409013
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
222 SW Obadiah St
Greenville, FL 32331-3315
Phone
(850) 464-8120
NPI assigned
Oct 16, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

222 SW Obadiah St
Greenville, FL 32331-3315

Mailing address

222 SW Obadiah St
Greenville, FL 32331-3315
Phone (850) 464-8120

Other providers in Greenville, FL

All providers in Greenville, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.