Individual provider · Type 1 NPI

Lacey Ann Hancock, LCMHC

Mental Health Counselor · Midvale, UT

NPI number 1407360951 Active

Practice location

613 E Fort Union Blvd Ste 104
Midvale, UT 84047

Fax (801) 984-1720

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8756352-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1407360951

Lacey Ann Hancock, LCMHC's National Provider Identifier is 1407360951, issued on Nov 20, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Midvale, UT. The record was last updated on Sep 12, 2025.