Haggan-Galloway, Lacey
Haggan-Galloway, Lacey is an individual health care provider with primary practice located at 630 Addison Ave W , Twin Falls ID 83301-5491. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Haggan-Galloway, Lacey can be contacted via phone (208) 736-5048.Contact Information
Primary practice address
630 Addison Ave W
Twin Falls ID 83301-5491
Phone: (208) 736-5048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT-7191 | Idaho |
Profile Details
| NPI number | 1508486481 |
|---|---|
| LBN Legal business name | Haggan-Galloway, Lacey |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2020 |
| Last updated | Apr 21st, 2020 - about 4 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 | 1508486481 | NPPES |
| Idaho | MEDICAID | 1558606962 |
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