person
Lacy Michelle Theobald, LCSW
Mental Health Counselor in Temple, Texas
NPI 1669965687

Lacy Michelle Theobald is a Mental Health Counselor based in Robinson, TX and is specialized in Mental Health. Lacy Michelle Theobald practices in Temple, TX and has the professional credentials of LCSW. The NPI Number for Lacy Michelle Theobald is 1669965687 and holds a License No. 50725 (Texas).

The current practice location address for Lacy Michelle Theobald is 3010 Scott Blvd Ste 103, Temple, TX and can be reached out via phone at 254-773-4022 and via fax at 254-773-0919.

Location: 3010 Scott Blvd Ste 103, Temple, TX, 76706-7291
person
Provider Profile Details
NPI Number
1669965687
Provider Name
Lacy Michelle Theobald
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3010 Scott Blvd Ste 103, Temple, TX, 76706-7291
Phone Number
254-773-4022
Fax Number
254-773-0919
Provider Enumeration Date
06/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50725 01 TX STATE (TX) LICENSE # FOR LCSW
institution
Provider Business Practice Location Address Details
Address
3010 Scott Blvd Ste 103
City
State
Zip
76504-6803
Phone Number
254-773-4022
Fax Number
254-773-0919
person
Provider Business Mailing Address Details
Address
3010 Scott Blvd Ste 103
City
State
Zip
76504-6803
Phone Number
254-773-4022
Fax Number
254-773-0919
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
50725 (Texas)
Definition
Definition to come...
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