Fritz, Dawn Lacy

Fritz, Dawn Lacy is an individual health care provider with primary practice located at 1570 Waverly Rd Holston Counseling Center, Kingsport TN 37664. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Fritz, Dawn Lacy can be contacted via phone (423) 224-1300.

Contact Information

Primary practice address
1570 Waverly Rd Holston Counseling Center Kingsport TN 37664
Phone: (423) 224-1300
Fax: (423) 224-1375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC1457 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC1457 Tennessee

Profile Details

NPI number 1245243393
LBN Legal business name Fritz, Dawn Lacy
Credentials MED NCC LPC MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245243393 NPPES
Other 138755HCS ANTHEM PREF TRIGON
Other 364005 ANTHEM PREF TRIGON
Other 4013496 ANTHEM PREF TRIGON
Other 4013496 ANTHEM PREF TRIGON
Other 4013496 ANTHEM PREF TRIGON
Other 620582605039 ANTHEM PREF TRIGON
Other 138755HCS ANTHEM PREF TRIGON

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