Provider Demographics
NPI:1235546169
Name:MENZIES, LACY MAE (MS MFT LADC, LADC-S)
Entity Type:Individual
Prefix:MS
First Name:LACY
Middle Name:MAE
Last Name:MENZIES
Suffix:
Gender:F
Credentials:MS MFT LADC, LADC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 INDUSTRIAL WAY
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-3116
Mailing Address - Country:US
Mailing Address - Phone:775-666-5126
Mailing Address - Fax:
Practice Address - Street 1:151 INDUSTRIAL WAY
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-3116
Practice Address - Country:US
Practice Address - Phone:177-666-5126
Practice Address - Fax:775-294-6015
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-11
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV07200-S101YA0400X
NV06600-L101YA0400X
106H00000X
NV4451106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)