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NPI Code Detail

MEDICARE: NATASHA MARIAH LACEY LPCC

MEDICARE: NATASHA MARIAH LACEY LPCC
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
1101YM0800XMental Health CounselorC.1902133OH
2171M00000XCase Manager/Care Coordinator
3101YP2500XProfessional CounselorE.2303301OH

General Provider Information

NPI Number : 1851881015
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA MARIAH LACEY LPCC
Provider Business Mailing Address
First Line : 3929 ROCKY RIVER DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-4153
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3929 ROCKY RIVER DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-4153
Country : US
Telephone Number : 216-432-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2018
Last Update Date : 05/15/2026

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Directions to “ NATASHA MARIAH LACEY LPCC” Practice Location

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