National Provider Identifier Database

LACKEY GROUP
Professional


Contact Information

LACKEY GROUP
1603 ORRINGTON AVE STE 600
EVANSTON, IL60201-3860
Phone: 312-585-7409
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Counseling 103TC1900X
Health & Wellness Coach 171400000X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for LACKEY GROUP

NPI Number 1962104372
Legal business name
LBN
LACKEY GROUP
Authorized official SHAIREE LACKEY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/20/2023
Last updated 03/20/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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