Provider Demographics
NPI:1609551142
Name:H. LANE BAGGETT, PH.D., LLC
Entity type:Organization
Organization Name:H. LANE BAGGETT, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:BAGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:540-425-0750
Mailing Address - Street 1:1600 N COALTER ST STE 10
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-2500
Mailing Address - Country:US
Mailing Address - Phone:540-425-0750
Mailing Address - Fax:540-301-1771
Practice Address - Street 1:1600 N COALTER ST STE 10
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-2500
Practice Address - Country:US
Practice Address - Phone:540-425-0750
Practice Address - Fax:540-301-1771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health