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General NPI Number Information
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NPI Number | 1992251482
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Entity Type | Individual
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Provider Name | YASHICA M LACY MS, CPC-I
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Gender | Female
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 2550 NATURE PARK DR STE 210
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-3205
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Country | US
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Telephone | 702-935-0025
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Fax |
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Provider Business Mailing Address
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Address Line | 6540 CASAMAR ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89086-1425
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Country | US
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Telephone | 225-445-7538
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CI5625
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License Number State | NV
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