Camp, Lacy Middlebrooks

Camp, Lacy Middlebrooks is an individual health care provider with primary practice located at 1690 S Milledge Ave , Athens GA 30605-1453. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Camp, Lacy Middlebrooks can be contacted via phone (706) 369-7911.

Contact Information

Primary practice address
1690 S Milledge Ave Athens GA 30605-1453
Phone: (706) 369-7911
Fax: (706) 208-9509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 000967 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000478 Georgia

Profile Details

NPI number 1982810867
LBN Legal business name Camp, Lacy Middlebrooks
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Oct 7th, 2008 - about 17 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.

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