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Contact Information

STEPHANIE LACY, LCSW & LMFT
142 FORREST AVE
GAINESVILLE, GA30501
 Phone: 404-345-7062
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE LACY · (Female)

NPI Number 1346256328
Status Active
Credentials LCSW & LMFT
Entity Individual
Enumeration date 07/31/2006
Last updated 06/22/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 1502
  • GA License # 734
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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