Individual provider · Type 1 NPI

Derek Christopher Lacy, LMHC

Mental Health Counselor · Providence, RI

NPI number 1336868280 Active

Practice location

530 N Main St
Providence, RI 02904-5762

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	MHC01887 (RI)

Mental Health Counselor: Definition to come...

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About NPI 1336868280

Derek Christopher Lacy, LMHC's National Provider Identifier is 1336868280, issued on Aug 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Providence, RI. The record was last updated on Oct 8, 2025.