Active NPIIndividual providerSole proprietor

Miss Lacey J Holovacko, LPC

Counselor, Mental Health in Brick, New Jersey

NPI Number1114419579
Practice location
35 Beaverson Blvd Ste 4D, Brick, NJ 08723-7857
Fax
—
Last updated
May 23, 2022

Lacey Jayne Holovacko is a Counselor, Mental Health based in Brick, NJ. Lacey Jayne Holovacko practices in Brick, NJ and has the professional credentials of LPC. The NPI Number for Lacey Jayne Holovacko is 1114419579 and holds a License No. 37AC00414900 (NJ). The current practice location address for Lacey Jayne Holovacko is 35 Beaverson Blvd Ste 4D, Brick, NJ 08723-7857 and can be reached out via phone at 908-373-1059.

Provider Profile Details

NPI Number
1114419579
Provider Name
Lacey Jayne Holovacko
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
35 Beaverson Blvd Ste 4D, Brick, NJ 08723-7857
Phone Number
908-373-1059
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
June 1, 2018
Last Update Date
May 23, 2022
Certification Date
May 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Beaverson Blvd Ste 4D
Brick, NJ 08723-7857
City
Brick
Zip
08723-7857
Phone Number
908-373-1059
Brick, NJ 08723Get directions →

Provider Business Mailing Address Details

Address
49 Vineyard Ave
South Amboy, NJ 08879-2515
City
South Amboy
State
NJ
Zip
08879-2515
Phone Number
732-331-5507

License Information

License Number
37AC00414900
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Lacey J Holovacko, LPC?

The NPI number of Miss Lacey J Holovacko, LPC is 1114419579. It was assigned on June 1, 2018 and is currently active in the NPPES registry.

What is the specialty of Miss Lacey J Holovacko, LPC?

Miss Lacey J Holovacko, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00414900.

Where does Miss Lacey J Holovacko, LPC practice?

The practice location is 35 Beaverson Blvd Ste 4D, Brick, NJ 08723-7857. The office can be reached at 908-373-1059 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114419579 directly on the NPPES registry website.

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