Lacey Marie Elliott
Mental Health Counselor
9708 Skillman St
Dallas
, Texas 75243-5150
Lacey Marie Elliott
Mental Health Counselor
9708 Skillman St
Dallas
, Texas 75243-5150
(214) 932-1977
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Lacey Marie Elliott
- 9708 Skillman St
- Dallas, TX
- Zip : 75243-5150
- Fax : (214) 932-1977
- Phone : (214) 863-8064
Second Address
- Lacey Marie Elliott
- 9708 Skillman St
- Dallas, TX
- Zip : 75243-5150
- Fax : (214) 932-1977
- Phone : (214) 863-8064
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 68259 | TX |
National Provider Identifier
| NPI | 1003181355 |
|---|---|
| Provider Name | Lacey Marie Elliott |
| First Address | Dallas, TX 75243-5150 |
| Second Address | Dallas, TX 75243-5150 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2012 |
| Last Update Date | 20/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 68259 | LPC - INTERN (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.