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Michael Lacy
Peer Specialist in Edmond, Oklahoma
NPI 1548731789

Michael Lacy is a Peer Specialist based in Edmond, OK. Michael Lacy practices in Edmond, OK. The NPI Number for Michael Lacy is 1548731789 and holds a License No. (Oklahoma).

The current practice location address for Michael Lacy is 4104 Shiloh Valley Rd, Edmond, OK and can be reached out via phone at 405-482-0313. You can also correspond with Michael Lacy through the mailing address at 4104 SHILOH VALLEY RD, EDMOND, OK - 73034-6912 (mailing address contact number: 405-482-0313).

Location: 4104 Shiloh Valley Rd, Edmond, OK, 73034-6912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548731789
Provider Name
Michael Lacy
Credential
Provider Entity Type
Individual
Gender
Male
Address
4104 Shiloh Valley Rd, Edmond, OK, 73034-6912
Phone Number
405-482-0313
Fax Number
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4104 Shiloh Valley Rd
City
Edmond
State
Oklahoma
Zip
73034-6912
Phone Number
405-482-0313
Fax Number
person
Provider Business Mailing Address Details
Address
4104 Shiloh Valley Rd
City
Edmond
State
Oklahoma
Zip
73034-6912
Phone Number
405-482-0313
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
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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