MARILEE EVELETH LAC
NPI 1649945379
Counselor - Mental Health in Flagstaff, AZ
Active since August 13, 2021
About Marilee Eveleth Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARILEE EVELETH LAC (NPI 1649945379) is an individual mental health provider in Flagstaff, Arizona, licensed in Arizona (1093023) and active in the NPI registry since August 2021.
NPPES Registry Identity
NPI1649945379
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARILEE EVELETHCredential: LAC
Location Address16 E ROUTE 66 STE 203Flagstaff, AZ 86001-5777
Mailing Address16 E Route 66 Ste 203Flagstaff, AZ 86001-5777 · (928) 606-2907
Phone(928) 606-2907
Sole ProprietorYes
Enumeration DateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1649945379 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · 1093023
16 E ROUTE 66 STE 203, Flagstaff, AZ 86001
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Clinic/Center (Mental Health (Including Community Mental Health Center))
16 E ROUTE 66 STE 203
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649945379, enumerated as an "individual" on August 13, 2021.
The provider is located at 16 E ROUTE 66 STE 203 FLAGSTAFF, AZ 86001 and the phone number is (928) 606-2907.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
