Lacefield, Isiah
Lacefield, Isiah is an sole proprietor health care provider with primary practice located at 100 Broughton Ave , Bloomfield NJ 07003-3989. He recently has 2 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 / Professional is his primary health care specialty. Lacefield, Isiah can be contacted via phone (201) 590-4242.Contact Information
Primary practice address
100 Broughton Ave
Bloomfield NJ 07003-3989
Phone: (201) 590-4242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00551200 | New Jersey |
Profile Details
| NPI number | 1073973061 |
|---|---|
| LBN Legal business name | Lacefield, Isiah |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2016 |
| Last updated | Feb 1st, 2020 - about 6 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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