LACEY ANN HANCOCK (NPI# 1407360951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407360951 |
| Entity Type | Individual |
| Full Name | LACEY ANN HANCOCK |
| Credential | LCMHC |
| Practice Address |
613 E Fort Union Blvd Ste 104 Midvale UT 84047 |
| Mailing Address |
613 E Fort Union Blvd Ste 104 Midvale UT 84047-5531 |
| Practice Telephone | 8019841717 |
| Practice Fax Number | 8019841720 |
| Mailing Telephone | 8019841717 |
| Mailing Fax Number | 8019841720 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8756352-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
613 E FORT UNION BLVD STE 104 |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063686160 | Wayne Sears | Counselor | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2008-04-18 |
| 1710539044 | Paige Nicole Gutzman | Counselor | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2019-07-16 |
| 1649733205 | Danette Lee Larsen | Counselor | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2019-04-10 |
| 1528578440 | Lisa Sovinsky | Counselor | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2017-10-05 |
| 1164802773 | Triona Mcmaster | Social Worker | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2015-06-09 |
| 1417263138 | Anastasia Eleftheria Doulis | Counselor | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2010-08-19 |
| 1871829283 | Life Stone Group, LLC | Clinic/Center | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047 | 2009-10-20 |
| 1316272354 | Amy Gillespie | Social Worker | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2009-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427668722 | Katrina Riley | Counselor | 930 E Canyon Ridge Way Apt 10, Midvale, UT 84047-4454 | 2020-08-03 |
| 1659995553 | Kaitlin Longfellow | Counselor | 217 E 7800 S, Midvale, UT 84047-2653 | 2020-06-05 |
| 1225697162 | Stephanie Fae Cowley | Counselor | 91 E Fort Union Blvd, Midvale, UT 84047-1531 | 2019-06-12 |
| 1356826036 | Cottonwood Creek Counseling | Counselor | 7321 S State St Ste A, Midvale, UT 84047-6105 | 2018-09-28 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1972823953 | Regina Gulick | Counselor | 411 W 7200 S Ste 304, Midvale, UT 84047-1016 | 2010-06-01 |
| 1063686160 | Wayne Sears | Counselor | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2008-04-18 |
| 1710539044 | Paige Nicole Gutzman | Counselor | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2019-07-16 |
| 1306407119 | Tiffany Youngberg | Counselor | 7309 S 180 W, Midvale, UT 84047-1020 | 2019-06-24 |
| Find all providers in MIDVALE | ||||
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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.