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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1780107730 NPPES
Kansas MEDICAID 201329460A
Kansas MEDICAID 47225335

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