Individual ProviderMike Neal LaneMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address948 20th St Unit C, Santa Monica, CA 90403-3385(310) 429-9727PECOS EnrollmentBased on the most recent information from CMS, provider Mike Neal Lane does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1164184990Provider TypeIndividualFull NameLane, Mike NealCredentialMFTGenderMaleSole ProprietorYesEnumeration Date10/8/2021Last Updated10/8/2021Contact InformationPractice LocationPractice Address948 20th St Unit C, Santa Monica, CA 90403-3385Phone(310) 429-9727FaxUnlisted FaxMailing LocationMailing Address3231 Ocean Park Blvd Ste 112, Santa Monica, CA 90405-3231Phone(310) 429-9727FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC33336California