Stewart, Lacey
Stewart, Lacey is an sole proprietor health care provider with primary practice located at 330 Poyntz Ave Ste 272 , Manhattan KS 66502-8039. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stewart, Lacey can be contacted via phone (505) 379-1270.Contact Information
Primary practice address
330 Poyntz Ave Ste 272
Manhattan KS 66502-8039
Phone: (505) 379-1270
Fax: (888) 972-1885
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2790 | Kansas |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0187211 | New Mexico |
Profile Details
NPI number | 1780107730 |
---|---|
LBN Legal business name | Stewart, Lacey |
Credentials | LPCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 21st, 2017 |
Last updated | Oct 17th, 2022 - about 3 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 | 1780107730 | NPPES |
Kansas | MEDICAID | 201329460A | |
Kansas | MEDICAID | 47225335 |
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