LACEY ELLIS (NPI# 1538796479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538796479 |
| Entity Type | Individual |
| Full Name | LACEY ELLIS |
| Credential | BSW, CIT |
| Practice Address |
19 N 5th St Fort Smith AR 72901-2137 |
| Mailing Address |
512 S 16th St Fort Smith AR 72901-4628 |
| Practice Telephone | 4797854083 |
| Mailing Telephone | 4797854083 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639510282 | Lacey Loral Ellis | Physical Therapist | 2685 Pelham Pkwy, Suite C, Pelham, AL 35124-1354 | 2013-07-11 |
| Street Address |
19 N 5TH ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381927 | Eva Michelle Wood | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2019-11-19 |
| 1720615289 | Memory Boucher | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2020-03-25 |
| 1912534694 | Lou Ann Dunn | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2020-03-24 |
| 1407483357 | Sara Mainer | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2020-03-23 |
| 1891322731 | Shanika Royal | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2020-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448370 | Teen Therapy Services LLC | Counselor | 5004 S U St Ste 202, Fort Smith, AR 72903-3600 | 2020-08-20 |
| 1912529207 | Deirdra Shanel Gordon | Counselor | 10706 Old Harbor Rd, Fort Smith, AR 72903-5821 | 2020-05-10 |
| 1457988339 | Tosha Wilson | Counselor | 805 Garrison Ave, Fort Smith, AR 72901-2608 | 2020-03-23 |
| 1174184733 | Rebecca Whitson | Counselor | 2917 Old Greenwood Rd Ste 3, Fort Smith, AR 72903-4559 | 2019-06-25 |
| 1619443165 | Bly Thomas Mental Health Counseling Organization Inc | Counselor | 1501 S Waldron Rd Ste 102, Fort Smith, AR 72903-2574 | 2018-10-22 |
| 1972082220 | The Steps, Inc. | Counselor | 706 Garrison Ave, Fort Smith, AR 72901-2404 | 2018-08-08 |
| 1073021747 | Lance Christopher Lennick | Counselor | 1228 Brooken Hill Dr, Fort Smith, AR 72908-7000 | 2018-01-16 |
| 1265941090 | Gregory Dell Roberts | Counselor | 211 N Greenwood Ave Ste B, Fort Smith, AR 72901-3463 | 2017-09-25 |
| 1467973990 | Judith Jeanne Mathewson | Counselor | Chenal Family Therapy, Plc, 5111 Rogers Ave, Ste 561, Central Plaza Suites, Fort Smith, AR 72903-2047 | 2017-07-06 |
| 1629229596 | Linda Cochran Lay | Counselor | 220 North Greenwood Avenue, Fort Smith, AR 72901 | 2008-10-09 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on LACEY ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.