Kantra, Lacy

Kantra, Lacy is an individual health care provider with primary practice located at 150 S Church St , Fairhope AL 36532-1569. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kantra, Lacy can be contacted via phone (251) 928-5363.

Contact Information

Primary practice address
150 S Church St Fairhope AL 36532-1569
Phone: (251) 928-5363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2132 Alabama
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2132 Alabama

Profile Details

NPI number 1831744846
LBN Legal business name Kantra, Lacy
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2019
Last updated Aug 6th, 2019 - about 6 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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