Individual provider · Type 1 NPI

Lacy Fay Otoole

Peer Specialist · Hicksville, NY

NPI number 1174428064 Active

Practice location

950 S Oyster Bay Rd
Hicksville, NY 11801-3511

Call (516) 390-6544 Map

Mailing address

426 Mansfield Ave
Levittown, NY 11756-5616

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X1114928462 (NY)

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 1174428064

Lacy Fay Otoole's National Provider Identifier is 1174428064, issued on Oct 10, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Hicksville, NY. The record was last updated on Oct 13, 2026.