Healthcare Provider Details
I. General information
NPI: 1114706736
Provider Name (Legal Business Name): LANCASTER COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2023
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
103 E STATE ST STE 606A
MASON CITY IA
50401-0001
US
IV. Provider business mailing address
103 E STATE ST STE 606A
MASON CITY IA
50401-0001
US
V. Phone/Fax
- Phone: 641-903-3902
- Fax: 641-513-8088
- Phone: 641-903-3902
- Fax: 641-513-8088
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
STACIE
LANCASTER
Title or Position: PRESIDENT/MANAGER
Credential: LISW
Phone: 641-903-3902