OrganizationLackaye Therapy And Advocacy LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2736 N Southport Ave Apt 1, Chicago, IL 60614-1230(573) 356-7909PECOS EnrollmentBased on the most recent information from CMS, provider Lackaye Therapy And Advocacy Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083173520Provider TypeOrganizationFull NameLackaye Therapy And Advocacy LlcSubpartNoEnumeration Date3/14/2019Last Updated3/14/2019Contact InformationPractice LocationPractice Address2736 N Southport Ave Apt 1, Chicago, IL 60614-1230Phone(573) 356-7909FaxUnlisted FaxMailing LocationMailing Address2736 N Southport Ave Apt 1, Chicago, IL 60614-1230Phone(573) 356-7909FaxUnlisted FaxAuthorized OfficialNameLackaye, Joanna (Owner / Therapist)Phone(573) 356-7909Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer