NPI 1013643352

Kelli Beth Lacy, PRSS

Practitioner Peer Specialist Logan, WV

Practice location

Address: 509 Main St, Logan, WV 25601-3809
Phone: (304) 896-5008

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 21-913 (WV)

Other Peer Specialist providers in West Virginia →

Registry record

NPI: 1013643352
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2022
Record last updated: 28 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.