MEDICARE: LACEY KNIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	88393	TX

General Provider Information

NPI Number	:	1346170313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LACEY KNIGHT

Provider Business Mailing Address
First Line	:	2614 WOODHAVEN ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76209-1340
Country	:	US
Telephone Number	:	940-268-5932
Fax Number	:

Provider Business Practice Location Address
First Line	:	2614 WOODHAVEN ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76209-1340
Country	:	US
Telephone Number	:	940-268-5932
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ LACEY KNIGHT ” Practice Location

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