Therapy With Lacey PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THERAPY WITH LACEY PLLC

Doing business as

The Mellow Clinic

Practice address

500 N Rainbow Blvd Ste 300
Las Vegas, NV 89107-1061

Phone

(410) 971-9088

NPI assigned

May 6, 2024

Last updated

May 6, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lacey Marie Campbell, CPCNPI 1063925089

Title

Mental Health Counselor

Phone

(410) 971-9088

Specialties & licenses 1

Addresses

Other names 1

• The Mellow Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lacey Marie Campbell

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1063925089
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1184471112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071061",
            "telephone_number": "410-971-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071061",
            "telephone_number": "410-971-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY WITH LACEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "410-971-9088",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mellow Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.