Provider Demographics
NPI:1114706736
Name:LANCASTER COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:LANCASTER COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:164-142-0163
Mailing Address - Street 1:202 1ST ST SE STE 103
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-3945
Mailing Address - Country:US
Mailing Address - Phone:641-420-1637
Mailing Address - Fax:
Practice Address - Street 1:202 1ST ST SE STE 103
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-3945
Practice Address - Country:US
Practice Address - Phone:641-420-1637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SJM LANCASTER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-22
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty