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General NPI Number Information
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NPI Number | 1124901350
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Entity Type | Organization
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Legal Business Name | LACY FAMILY MENTAL HEALTH AND CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 206 S OUTER DR
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City | DUMAS
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State | AR
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Zip | 71639-9510
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Country | US
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Telephone | 870-377-4852
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Fax | 870-218-1765
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Provider Business Mailing Address
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Address Line | 499 CEDAR ST
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City | DUMAS
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State | AR
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Zip | 71639-9543
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Country | US
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Telephone | 870-377-4852
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Fax | 870-218-1765
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. ROSIE L LACY
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Credential |
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Telephone | 870-377-4852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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