Individual provider · Type 1 NPI

Michael Lacy, PhD, LBP, NCSP

Mental Health Counselor · Edmond, OK

NPI number 1285825398 Active

Practice location

2000 E 15th St Ste 150C
Edmond, OK 73013-6679

Call (405) 919-2147 Map

Mailing address

PO Box 31331
Edmond, OK 73003-0023

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0238 (OK)
School Psychologist 103TS0200X22098 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1285825398

Michael Lacy, PhD, LBP, NCSP's National Provider Identifier is 1285825398, issued on Aug 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on Aug 5, 2007.