LACY MUCKLOW (NPI# 1356830665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356830665 |
| Entity Type | Individual |
| Full Name | LACY MUCKLOW |
| Credential | MA, ATR-BC, LCPAT |
| Practice Address |
7533 Main St Ste 1f Sykesville MD 21784-5308 |
| Practice Telephone | 4109706964 |
| Practice Fax Number | 4109706157 |
| Mailing Telephone | 4109706964 |
| Mailing Fax Number | 4109706157 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | ATC042 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7533 MAIN ST STE 1F |
| City | SYKESVILLE |
| State | MD |
| Zip Code | 21784-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681085 | Kathleen Busching | Occupational Therapy Assistant | Intergrace Fairhaven, 7200 Third Ave, Sykesville, MD 21784 | 2018-12-31 |
| 1619450376 | Mackenzie Fleming | Counselor | 6220 Georgetown Blvd Suite C, Eldersburg, MD 21784 | 2018-09-10 |
| 1316426919 | Rebecca Rubin | Nurse Practitioner | 1380 Progress Way, Suite 102, Eldersburg, MD 21784 | 2018-08-14 |
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1992229694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Georgetown Blvd, Eldersburg, MD 21784 | 2017-08-03 |
| 1457894495 | Bethany Six | Nurse Practitioner | 6190 Gerogetown Blvd, Eldersburg, MD 21784 | 2016-11-23 |
| 1982011821 | Fast Track Urgent Care, LLC | Clinic/Center | 1315 Breton Drive, Eldersburg, MD 21784 | 2014-07-11 |
| 1588097984 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784 | 2013-08-21 |
| 1356690986 | Kayla Nicole Koster | Speech-Language Pathologist | 1702 Liberty Road, First Floor, Sykesville, MD 21784 | 2012-08-29 |
| 1558645663 | Fusion Dental | Dentist | 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 | 2011-10-07 |
| Find all providers in zip 21784 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275099319 | Anna Mills | Art Therapist | 1008 Dulaney Valley Rd, Baltimore, MD 21204-2702 | 2019-02-13 |
| 1043781255 | Melissa Helen Scherrphillips | Art Therapist | 191 S East St, Frederick, MD 21701-5918 | 2018-12-16 |
| 1427576040 | Valor Health, Inc. | Art Therapist | 11310 Sperry Stream Way, Bowie, MD 20720 | 2017-09-04 |
| 1881780567 | Bonnie J Kauffman | Art Therapist | 10806 Reisterstown Road, Owings Mills, MD 21117 | 2006-10-04 |
| 1407883028 | Julie Wood Merchant | Art Therapist | Frederick County Health Department Substance Abuse Div., 350 Montevue Lane, Frederick, MD 21702 | 2006-06-27 |
| 1386688372 | Elaine Parks | Art Therapist | 12904 Margot Dr, Rockville, MD 20853-3718 | 2006-06-16 |
| 1174565535 | Gayle Marie Sutch | Art Therapist | 5530 Westcott Cir, Frederick, MD 21703-6565 | 2006-06-11 |
| 1326654161 | Michelle Diane Long | Art Therapist | 1910 Towne Centre Blvd, Annapolis, MD 21401-3598 | 2020-09-17 |
| 1306456272 | Sunflower Healing Art Therapy, LLC | Art Therapist | 1707 Rosemont Ave, Frederick, MD 21702-4135 | 2020-08-05 |
| 1346867173 | Charlotte G Boston | Art Therapist | 124 Slade Ave, Pikesville, MD 21208-4900 | 2020-06-27 |
| Find all providers with the same taxonomy | ||||
| City | SYKESVILLE |
| Zip Code | 21784 |
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| 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.