Lackey, Phyllis J
Lackey, Phyllis J is an individual health care provider with primary practice located at 482 N Detroit St , Xenia OH 45385. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Lackey, Phyllis J can be contacted via phone (937) 374-6010.Contact Information
Primary practice address
482 N Detroit St
Xenia OH 45385
Phone: (937) 374-6010
Fax: (937) 374-6014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | C0003153 | Ohio |
Profile Details
| NPI number | 1174682504 |
|---|---|
| LBN Legal business name | Lackey, Phyllis J |
| Credentials | LIC PROF COUNSELOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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