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Lacie Mancia

NPI 1588532899 · on the registry since 2025

Practice

Address
1400 Sw Susana St Ste 12
Bentonville, AR 72713
Phone
(479) 203-7100
Organisation at this address
Southern Caregivers Of Bentonville Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas