Individual provider · Type 1 NPI

Kelli Beth Lacy, PRSS

Peer Specialist · Logan, WV

NPI number 1013643352 Active

Practice location

509 Main St
Logan, WV 25601-3809

Call (304) 896-5008 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X21-913 (WV)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1013643352

Kelli Beth Lacy, PRSS's National Provider Identifier is 1013643352, issued on Jul 28, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Logan, WV. The record was last updated on Jul 28, 2022.