Healthcare Provider Details

I. General information

NPI: 1568237014
Provider Name (Legal Business Name): LACE COUNSELING CENTER,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W WASHINGTON ST STE 180
MARSHFIELD MO
65706-2389
US

IV. Provider business mailing address

821 E BURFORD ST
MARSHFIELD MO
65706-1305
US

V. Phone/Fax

Practice location:
  • Phone: 417-840-3970
  • Fax: 417-859-4429
Mailing address:
  • Phone: 417-840-3970
  • Fax: 417-859-4429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. DARYL EUGENE LACE
Title or Position: DIRECOR
Credential: LPC
Phone: 417-840-3970