Provider Demographics
NPI:1952716227
Name:KACY J. LANSING COUNSELING & WELLNESS, LLC
Entity Type:Organization
Organization Name:KACY J. LANSING COUNSELING & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KACY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANSING
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:203-592-2037
Mailing Address - Street 1:84 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-4360
Mailing Address - Country:US
Mailing Address - Phone:203-592-2037
Mailing Address - Fax:
Practice Address - Street 1:84 BRENTWOOD DR
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-4360
Practice Address - Country:US
Practice Address - Phone:203-592-2037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2495251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health