Bangert, Lacy Renae

Bangert, Lacy Renae is an sole proprietor health care provider with primary practice located at 17284 W Mohave St , Goodyear AZ 85338-1788. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bangert, Lacy Renae can be contacted via phone (307) 630-0511.

Contact Information

Primary practice address
17284 W Mohave St Goodyear AZ 85338-1788
Phone: (307) 630-0511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 23036 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X 1675 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X C8769 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X 0017704 Colorado

Profile Details

NPI number 1215561915
LBN Legal business name Bangert, Lacy Renae
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2020
Last updated Jun 5th, 2026 - about 4 months 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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