Dyke, Lacy G

Dyke, Lacy G is an sole proprietor health care provider with primary practice located at 1001 Cypress Creek Rd Ste 301 , Cedar Park TX 78613-4469. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dyke, Lacy G can be contacted via phone (512) 912-6609.

Contact Information

Primary practice address
1001 Cypress Creek Rd Ste 301 Cedar Park TX 78613-4469
Phone: (512) 912-6609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 63364 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 63364 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 63364 Texas

Profile Details

NPI number 1750608071
LBN Legal business name Dyke, Lacy G
Credentials MMFT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2010
Last updated Aug 12th, 2010 - about 16 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 1750608071 NPPES
Texas MEDICAID 211269001
Texas Other 1912224239

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