NPIMap

Organization Active NPI

Lane Treatment Center, LLC

  • Rehabilitation Counselor
  • Baltimore, MD
National Provider Identifier
1598126740
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
MH-1858 Issued in MD
Legal business name
LANE TREATMENT CENTER, LLC
Practice address
2117 Maryland Ave
Suite 400
Baltimore, MD 21218-5614
Phone
(410) 244-7350
Fax
(410) 244-7351
NPI assigned
Mar 16, 2016
Organization subpart
Yes
Parent organization
MAN ALIVE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
David Engwall, LCPC
Title
Director of Operations
Phone
(410) 837-4292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 225C00000X MH-1858 MD Primary

Addresses

Primary practice location

2117 Maryland Ave
Suite 400
Baltimore, MD 21218-5614

Mailing address

2117 Maryland Ave
Suite 400
Baltimore, MD 21218-5614
Phone (410) 244-7350

National Provider Directory

National Provider Directory
Tax ID family
Lane Treatment Center LLC4 organizations share this tax ID, including this one
Part of
Man Alive Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1598126740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 MARYLAND AVE",
            "address_2": "SUITE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185614",
            "telephone_number": "410-244-7350",
            "fax_number": "410-244-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 MARYLAND AVE",
            "address_2": "SUITE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185614",
            "telephone_number": "410-244-7350",
            "fax_number": "410-244-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE TREATMENT CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAN ALIVE, INC.",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "ENGWALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "410-837-4292",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Counselor",
            "state": "MD",
            "license": "MH-1858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.