Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Health & Wellness Coach |
171400000X | |||
Mental Health |
101YM0800X |
| NPI # | 1962104372 |
| LBN Legal business name | LACKEY GROUP |
| Authorized official | SHAIREE LACKEY - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/20/2023 |
| Last updated | 03/20/2023 - About 3 years ago |
| Identifiers | n/a |
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LACKEY GROUP
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