Individual provider · Type 1 NPI
Lacey Eaton, LPC
Mental Health Counselor · Mansfield, TX
NPI number
1861046385
Active
Practice location
805 Killian Dr
Mansfield, TX 76063
Mailing address
PO Box 1469
Kennedale, TX 76060-1469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 69531 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 69531 (TX) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1861046385
Lacey Eaton, LPC's National Provider Identifier is 1861046385, issued on Aug 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mansfield, TX. The record was last updated on Aug 1, 2019.