Lackey, Lisa

Lackey, Lisa is an individual health care provider with primary practice located at 1609 Sherman Ave Ste 324 , Evanston IL 60201-5013. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lackey, Lisa can be contacted via phone (847) 328-7588.

Contact Information

Primary practice address
1609 Sherman Ave Ste 324 Evanston IL 60201-5013
Phone: (847) 328-7588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.004500 Illinois

Profile Details

NPI number 1043335680
LBN Legal business name Lackey, Lisa
Credentials MS, LCPC,CSAT,CMAT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jun 29th, 2023 - about 3 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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