NPI Code Detail JSON Logo

1316686363 NPI number — ERICA NICOLE LACKEY LPC

NPI Number: 1316686363
Health Care Provider/Practitioner: ERICA NICOLE LACKEY LPC

Information about “1316686363” NPI (ERICA NICOLE LACKEY LPC) exists in 1316686363 in HTML format HTML  |  1316686363 in plain Text format TXT  |  1316686363 in PDF (Portable Document Format) PDF  |  1316686363 in an XML format XML  formats.

NPI Number : 1316686363 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316686363",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LACKEY",
    "FirstName": "ERICA",
    "MiddleName": "NICOLE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCOTT",
    "OtherFirstName": "ERICA",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4204 SW GREEN OAKS BLVD STE 120",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARLINGTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76017-4159",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "682-422-9123",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "572 COLEMAN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WAXAHACHIE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75165-2837",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-923-2440",
    "PracticeLocationAddressFaxNumber": "972-923-2445",
    "EnumerationDate": "05/28/2022",
    "LastUpdateDate": "09/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "84437",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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