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KANZIS MALON LACKEY
NPI 1043960859
Counselor - Addiction (Substance Use Disorder) in Taylorsville, NC

Active since March 25, 2022
31 E MAIN AVE, TAYLORSVILLE, NC 28681(704) 872-0123 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kanzis Malon Lackey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANZIS MALON LACKEY (NPI 1043960859) is an individual addiction (substance use disorder) provider in Taylorsville, North Carolina and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1043960859
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKANZIS MALON LACKEY
Location Address31 E MAIN AVETaylorsville, NC 28681-2540
Mailing Address163 Saddlewood LnStatesville, NC 28625-5522 · (704) 450-1006
Phone(704) 872-0123
Sole ProprietorNo
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1043960859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
31 E MAIN AVE, Taylorsville, NC 28681
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY ROCHELLE BLACK LPC;LCAS-A
Counselor (Professional)
31 E MAIN AVE
TAYLORSVILLE, NC 28681
Alexander County (704) 872-0234
ALEXANDER YANG LCAS-A
Counselor (Addiction (Substance Use Disorder))
31 E MAIN AVE
TAYLORSVILLE, NC 28681
Alexander County (704) 872-0234
MRS. BROOKE NICOLE-HAYES MASSENBURG FNP-BC
Nurse Practitioner (Family)
31 E MAIN AVE
TAYLORSVILLE, NC 28681
Alexander County (704) 872-0234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanzis Lackey's NPI number?

The NPI number for Kanzis Lackey is 1043960859. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Kanzis Lackey located?

Kanzis Lackey practices at 31 E Main Ave, Taylorsville, NC 28681. The listed phone number is (704) 872-0123.

What is Kanzis Lackey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kanzis Lackey was last updated on March 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.