Anthony, Lacie L
Anthony, Lacie L is an individual health care provider with primary practice located at 37868 Us Highway 18 , Prairie Du Chien WI 53821-8416. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Anthony, Lacie L can be contacted via phone (608) 357-2000.Contact Information
Primary practice address
37868 Us Highway 18
Prairie Du Chien WI 53821-8416
Phone: (608) 357-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3444 | Wisconsin |
Profile Details
| NPI number | 1679503239 |
|---|---|
| LBN Legal business name | Anthony, Lacie L |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jun 15th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679503239 | NPPES |
| Wisconsin | MEDICAID | 40959200 |
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