Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy Stanley Lane, MDIVANDDMIN

Individual provider Pastoral Counselor · NPI 1295334639

Dr. Timothy Stanley Lane, MDIVANDDMIN is a Pastoral Counselor in Peachtree City, Georgia. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

50 Eastbrook Bnd Ste B
Peachtree City, GA 30269-1530
Phone: (678) 519-5259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X

Record details

NPI number1295334639
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIVANDDMIN
Sole proprietorYes
NPI enumeratedOctober 17, 2020
Last updated in NPPESOctober 17, 2020
Certification dateOctober 17, 2020