Individual provider · Type 1 NPI

Lacy Keith, M.A.

Mental Health Counselor · Portales, NM

NPI number 1821116294 Active

Practice location

300 E 1st St
Portales, NM 88130-5914

Call (575) 359-1221 Map

Mailing address

1525 S Avenue C
Portales, NM 88130-6819

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor 101YM0800XT-0151121 (NM)
Mental Health Counselor Primary 101YM0800X156141 (NM)

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1821116294

Lacy Keith, M.A.'s National Provider Identifier is 1821116294, issued on Mar 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portales, NM. The record was last updated on May 6, 2013.