# LECY THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740749134
- **Authorized official:** NATALIE JO LECY CSW-PIP, QMHP (SOCIAL WORKER THERAPIST)
- **Authorized official phone:** (801) 910-3165

## Contact information

- **Practice address:** 2218 JACKSON BLVD STE 13, RAPID CITY, SD 57702-3452
- **Practice address phone:** (801) 910-3165
- **Practice address fax:** (605) 791-0122
- **Mailing address:** 2218 JACKSON BLVD STE 13, RAPID CITY, SD 57702-3452
- **Mailing address phone:** (801) 910-3165
- **Mailing address fax:** (605) 791-0122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2019
- **Last updated:** 03/15/2019