Laci Nicole Roberts | Liberty, MO • PECOS Search

Laci Nicole Roberts

Counselor

Behavioral Health & Social Service Providers

130 Westwoods Dr, Liberty, MO 64068-1181

PECOS Enrollment

Based on the most recent information from CMS, provider Laci Nicole Roberts does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1518611151
Provider Type
Individual
Full Name
Roberts, Laci Nicole
Gender
Female

Sole Proprietor
Yes
Enumeration Date
2/11/2022
Last Updated
6/17/2024

Contact Information

Practice Location

130 Westwoods Dr, Liberty, MO 64068-1181

Unlisted Fax

Mailing Location

6449 Martin Dr, Agency, MO 64401-9112

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 2021017916 Missouri