Individual provider · Type 1 NPI

Lacetria Bolton

Day Training/Habilitation Specialist · Hattiesburg, MS

NPI number 1184348666 Active

Practice location

123 Chambliss Dr
Hattiesburg, MS 39401-7885

Call (769) 390-7818 Map

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1184348666

Lacetria Bolton's National Provider Identifier is 1184348666, issued on Sep 28, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Sep 28, 2022.