Individual provider · Type 1 NPI

Lacey Vivienne Moffatt, PSYD, LPC

Mental Health Counselor · Shreveport, LA

NPI number 1154119360 Active

Practice location

648 Elmwood St
Shreveport, LA 71104-4902

Call (318) 470-5434 Map

Fax (318) 470-5434

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X68380 (TX)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Shreveport

See all in Shreveport →

About NPI 1154119360

Lacey Vivienne Moffatt, PSYD, LPC's National Provider Identifier is 1154119360, issued on Apr 28, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Apr 28, 2025.