PHYLLIS J LACKEY (LIC PROF COUNSELOR) – Counselor, NPI 1174682504

PHYLLIS J LACKEY (LIC PROF COUNSELOR) is a healthcare provider. based in Vandalia, Ohio. specializing in Counselor. They hold the professional credentials LIC PROF COUNSELOR. They hold a License No. C0003153 (OH). The NPI Number for PHYLLIS J LACKEY (LIC PROF COUNSELOR) is 1174682504

Main info

Female
Name
PHYLLIS J LACKEY (LIC PROF COUNSELOR)
NPI
1174682504
Phone
(937) 890-3139
Address
76 FORDWAY DR
Enumeration Date
8 December 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for PHYLLIS J LACKEY (LIC PROF COUNSELOR)

  • 76 FORDWAY DR

    SUITE 2

    VANDALIA, OH 45377

    Phone: (937) 890-3139

    Fax: (937) 890-3111

    Type: Mailing

  • 482 N DETROIT ST

    XENIA, OH 45385

    Phone: (937) 374-6010

    Fax: (937) 374-6014

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45377)

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Frequently asked questions

Is PHYLLIS J LACKEY (LIC PROF COUNSELOR) listed with a National Provider Identifier?
Yes — PHYLLIS J LACKEY (LIC PROF COUNSELOR) has NPI 1174682504 on file in the registry.
Would PHYLLIS J LACKEY (LIC PROF COUNSELOR) appear as active to a payer?
You can treat PHYLLIS J LACKEY (LIC PROF COUNSELOR) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for PHYLLIS J LACKEY (LIC PROF COUNSELOR)?
At a glance, PHYLLIS J LACKEY (LIC PROF COUNSELOR) is tied to Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with PHYLLIS J LACKEY (LIC PROF COUNSELOR)?
Directory geography for PHYLLIS J LACKEY (LIC PROF COUNSELOR) centers on Vandalia, Ohio.
Can I trust this NPI listing for PHYLLIS J LACKEY (LIC PROF COUNSELOR)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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