| Doctor Name: | MRS. MILLIE F. LACE |
| NPI Number: | 1023225992 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSE, LPC |
| License Number: | P0011032 |
| Business Practice Address: | 202 Commercial Ave E Wynne, AR - 723962930 |
| Business Phone Number: | 8702384329 |
| Business Fax Number: | 8702088935 |
| Mailing Address: | 811 Forrest Ave E, WYNNE |
| State: | AR |
| Postal Code: | 723963730 |
| Phone Number: | 8702384329 |
| Fax Number: | 8702088935 |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | P0011032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |