KENNETH BART LACY
NPI 1235986340
Counselor in Fort Lauderdale, FL
- Individual
- Male
- Counselor
About KENNETH LACY
This page provides the complete NPI Profile along with additional information for Kenneth Lacy, a provider established in Fort Lauderdale, Florida with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1235986340 assigned on May 2024. The practitioner's primary taxonomy code is 101Y00000X with license number IMH24593 (FL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1235986340 Verify this NPI
- Provider Name
- KENNETH BART LACY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2717 W CYPRESS CREEK RD FORT LAUDERDALE, FL 33309
- Location Phone
- (954) 683-3463
- Mailing Address
- 2717 W CYPRESS CREEK RD FORT LAUDERDALE, FL 33309
- Mailing Phone
- (954) 683-3463
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-06-2024
- Last Update Date
- 05-06-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- IMH24593
- License State
- FL
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT LAUDERDALE, FL 33309
FORT LAUDERDALE, FL 33309
FORT LAUDERDALE, FL 33309
FT LAUDERDALE, FL 33309
FORT LAUDERDALE, FL 33309
FORT LAUDERDALE, FL 33309
FORT LAUDERDALE, FL 33309
FORT LAUDERDALE, FL 33309
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235986340, enumerated as an "individual" on May 06, 2024.
The provider is located at 2717 W CYPRESS CREEK RD FORT LAUDERDALE, FL 33309 and the phone number is (954) 683-3463.
Counselor with taxonomy code 101Y00000X.
