Healthcare Provider Details

I. General information

NPI: 1558882001
Provider Name (Legal Business Name): LACEY MAY COMBS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2017
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3775 EP TRUE PKWY STE 199
WEST DES MOINES IA
50265-7696
US

IV. Provider business mailing address

3775 EP TRUE PKWY # 199
WEST DES MOINES IA
50265-7696
US

V. Phone/Fax

Practice location:
  • Phone: 515-255-8399
  • Fax:
Mailing address:
  • Phone: 712-577-2140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number083580
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: