Lacey, Kathleen

Lacey, Kathleen is an sole proprietor health care provider with primary practice located at 11094 County Road 230 , Oronogo MO 64855-8121. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Lacey, Kathleen can be contacted via phone (405) 226-2572.

Contact Information

Primary practice address
11094 County Road 230 Oronogo MO 64855-8121
Phone: (405) 226-2572
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2014039066 Missouri
Behavioral Health & Social Service Providers / Counseling 103TC1900X 3526 Oklahoma
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1048 Oklahoma

Profile Details

NPI number 1376612523
LBN Legal business name Lacey, Kathleen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Apr 5th, 2017 - about 8 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 1376612523 NPPES
Missouri MEDICAID 1376612523
Missouri MEDICAID 200052450

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