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NPI Code Detail

MEDICARE: EMMA LACY LMFT

MEDICARE: EMMA LACY LMFT
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
1106H00000XMarriage & Family Therapist03831KS

General Provider Information

NPI Number : 1396608188
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA LACY LMFT
Provider Business Mailing Address
First Line : 1861 N ROCK RD STE 330
Second Line : SUITE 330
City : WICHITA
State : KS
Zip : 67206-1264
Country : US
Telephone Number : 316-247-2573
Fax Number :
Provider Business Practice Location Address
First Line : 1861 N ROCK ROAD
Second Line : SUITE 330
City : WICHITA
State : KS
Zip : 67206-1264
Country : US
Telephone Number : 316-247-2573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 02/05/2026

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Directions to “ EMMA LACY LMFT” Practice Location

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