Individual provider · Type 1 NPI

Darrick Taylor Lacey

Peer Specialist · Idaho Falls, ID

NPI number 1316820293 Active

Practice location

3400 S 5th W
Idaho Falls, ID 83402-7309

Call (208) 220-8327 Map

Mailing address

218 Cemetery Rd Unit 10
Pocatello, ID 83202-7061

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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 1316820293

Darrick Taylor Lacey's National Provider Identifier is 1316820293, issued on Jul 29, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 29, 2025.