Individual provider · Type 1 NPI

Benjamin Thomas Lackey, PHD.

Pastoral Counselor · Lakewood, OH

NPI number 1659654960 Active

Practice location

18225 Detroit Ave, Suite 106
Lakewood, OH 44107-3321

Call (330) 635-7450 Map

Fax (815) 417-6462

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor Primary 101YP1600XNone listed

Pastoral Counselor: Definition to come...

About NPI 1659654960

Benjamin Thomas Lackey, PHD.'s National Provider Identifier is 1659654960, issued on Sep 22, 2011. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Lakewood, OH. The record was last updated on Oct 25, 2026.