Provider Demographics
NPI:1720849219
Name:LACHMANN, MYRA KAYE (LPCA)
Entity Type:Individual
Prefix:
First Name:MYRA
Middle Name:KAYE
Last Name:LACHMANN
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 BAGDAD RD
Mailing Address - Street 2:
Mailing Address - City:BAGDAD
Mailing Address - State:KY
Mailing Address - Zip Code:40003-8014
Mailing Address - Country:US
Mailing Address - Phone:502-437-4766
Mailing Address - Fax:
Practice Address - Street 1:4505 BAGDAD RD
Practice Address - Street 2:
Practice Address - City:BAGDAD
Practice Address - State:KY
Practice Address - Zip Code:40003-8014
Practice Address - Country:US
Practice Address - Phone:502-437-4766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY289120101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health