Lookup NPI Numbers from the NPI Registry
NPI Profile for LACKEY GROUP in EVANSTON, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Health & Wellness Coach |
171400000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1962104372 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/20/2023 | |
| Last updated | 03/20/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LACKEY GROUP
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LACKEY GROUP