| Colleen Marie Lacey, LMFT | |
|
9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | |
| (952) 826-8475 | |
| (763) 315-4669 |
| Full Name | Colleen Marie Lacey |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 9400 Zane Ave N, Brooklyn Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861709529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2204 (Minnesota) | Primary |
| Entity Name | St Croix Psychiatric Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Marie Lacey, LMFT 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 Ph: (952) 826-8475 | Colleen Marie Lacey, LMFT 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 Ph: (952) 826-8475 |
Jennifer Anne Franke, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 952-826-8424 | |
Robert James Niehoff, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 952-826-8475 | |
Laura Bree Villaverde, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-439-5093 | |
Mrs. Lynndelle Kristin Pratt, M.S., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7600 Boone Ave N, Suite 2, Brooklyn Park, MN 55428 Phone: 763-504-8458 | |
Melissa Kay Tyo, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5500 94th Ave N, Brooklyn Park, MN 55443 Phone: 763-762-8840 | |
Mrs. Kelly Ann Tyer, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 952-826-8475 | |
Stacey Lynn Wolfgram, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6900 78th Ave N, Brooklyn Park, MN 55445 Phone: 763-560-4412 |