Individual
DR. CONSTANCE LORAINE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LCSW
Contact information
Practice address
10006 RIVER BEND DR STE 104, ROWLETT, TX 75089-8521
(469) 733-5047
(972) 412-5219
Mailing address
10006 RIVER BEND DR STE 104, ROWLETT, TX 75089-8521
(469) 733-5047
(972) 412-5219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S35185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2559683
CIGNA BEHAVIORAL
TX
01
—
593810
BLUE CROSS BLUE SHIELD TEXAS
TX
01
—
601292907
MAGELLAN HEALTHCARE
TX
01
—
7511715
AETNA
TX
Enumeration date
04/03/2007
Last updated
04/29/2023
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