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General NPI Number Information
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NPI Number | 1316686363
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Entity Type | Individual
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Provider Name | ERICA NICOLE LACKEY LPC
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Gender | Female
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Dates
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Enumeration Date | 05/28/2022
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 572 COLEMAN ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-2837
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Country | US
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Telephone | 972-923-2440
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Fax | 972-923-2445
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Provider Business Mailing Address
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Address Line | 4204 SW GREEN OAKS BLVD STE 120
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City | ARLINGTON
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State | TX
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Zip | 76017-4159
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Country | US
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Telephone | 682-422-9123
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 84437
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License Number State | TX
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