Lacey Corneliusen, Licsw, Llc

LBN: Lacey Corneliusen, Licsw, Llc
Lacey Corneliusen, Licsw, Llc is an health care organization with primary practice located at 315 Main St S Ste 301, Minot ND 58701-3956. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Lacey Corneliusen, Licsw, Llc can be contacted via phone (406) 939-1976, or through Cornelisen, Lacey Dawn via phone (406) 939-1976.

Contact Information

Primary practice address
315 Main St S Ste 301 Minot ND 58701-3956
Phone: (406) 939-1976
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cornelisen, Lacey Dawn LICSW
Phone: (406) 939-1976

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4558 North Dakota

Profile Details

NPI number 1285064246
LBN Legal business name Lacey Corneliusen, Licsw, Llc
DBA Doing business as
Authorized official Cornelisen, Lacey Dawn LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2013
Last updated Nov 12th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers