MEDICARE: LAKENYA ELAINE PACE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-21-177322	GA

General Provider Information

NPI Number	:	1225990757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKENYA ELAINE PACE

Provider Business Mailing Address
First Line	:	296 MERCHANTS SQ
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-5029
Country	:	US
Telephone Number	:	470-391-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	296 MERCHANTS SQ
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-5029
Country	:	US
Telephone Number	:	470-391-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

Similar Medicare Providers

1699639237 — OASIS HOSPICE & PALLIATIVE CARE LLC
Practice Location Address:

280 MERCHANTS SQ RM A
DALLAS, GA
30132-5029

Practice Phone: 404-996-7622
Practice Fax:

1528055027 — DR. ANANTHA N. KAMATH M.D.
Practice Location Address:

280 MERCHANTS SQ
DALLAS, GA
30132-5029

Practice Phone: 678-813-2741
Practice Fax: 770-575-3912

1760420228 — WELLSTAR INTERNAL MEDICINE AT PAULDING, LLC
Practice Location Address:

290 MERCHANTS SQ , SUITE F
DALLAS, GA
30132-5029

Practice Phone: 678-363-9225
Practice Fax: 678-363-7916

1588683916 — MR. FRANK A TERRACINA JR. DMD
Practice Location Address:

290 MERCHANTS SQ , SUITE A
DALLAS, GA
30132-5029

Practice Phone: 770-505-6400
Practice Fax: 770-505-6444

1811082605 — CARDIAC DISEASE SPECIALISTS, PC
Practice Location Address:

296 MERCHANTS SQ
DALLAS, GA
30132-5029

Practice Phone: 678-363-3200
Practice Fax: 678-363-9644

1316122922 — MICHAEL S LOTT SR. MD
Practice Location Address:

280 MERCHANTS SQ
DALLAS, GA
30132-5029

Practice Phone: 678-813-2741
Practice Fax: 770-575-3912

Directions to “ LAKENYA ELAINE PACE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.