Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kanzis Malon Lackey

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043960859

Kanzis Malon Lackey is an Addiction (Substance Use Disorder) Counselor in Taylorsville, North Carolina. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

31 E Main Ave
Taylorsville, NC 28681-2540
Phone: (704) 872-0123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1043960859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2022
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022

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