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

Lacie Mancia

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1588532899

Lacie Mancia is a Nurse Practitioner in Bentonville, Arkansas. Qualified in 2024, 2 years ago. Practices with PT Concepts PLLC, a 23-clinician group. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2025

Practice location Address checks out

1400 SW Susana St Ste 12
Bentonville, AR 72713-7877
Phone: (479) 203-7100
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 214637 (AR)

Record details

NPI number1588532899
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address1400 Sw Susana St Ste 12, Bentonville, AR 72713-7877

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pt Concepts Pllc — 23 clinicians
Accepts Medicare assignment Not indicated

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