| Lacey Psychotherapy, Pa | |
|
900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 | |
| (651) 482-9361 | |
| Not Available |
| Full Name | Lacey Psychotherapy, Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 900 Long Lake Rd Ste 320, New Brighton, Minnesota |
| Authorized Official Name and Position | Ethan K Lacey (OWNER/THERAPIST) |
| Authorized Official Contact | 6514829361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Psychotherapy, Pa 900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 Ph: (651) 482-9361 | Lacey Psychotherapy, Pa 900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 Ph: (651) 482-9361 |
| NPI Number | 1366323115 |
|---|---|
| Provider Enumeration Date | 09/09/2025 |
| Last Update Date | 09/09/2025 |
| Certification Date | 09/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366323115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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