Lacy Dawn Elliott is a Peer Specialist based in Konawa, OK. Lacy Dawn Elliott practices in Konawa, OK. The NPI Number for Lacy Dawn Elliott is 1700471778 and holds a License No. (Oklahoma).
The current practice location address for Lacy Dawn Elliott is 605 N Elm St, Konawa, OK and can be reached out via phone at 918-991-3654.
Location: 605 N Elm St, Konawa, OK, 74849-1410
Provider Profile Details
NPI Number
1700471778
Provider Name
Lacy Dawn Elliott
Credential
Provider Entity Type
Individual
Gender
Female
Address
605 N Elm St, Konawa, OK, 74849-1410
Phone Number
918-991-3654
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
605 N Elm St
City
State
Zip
74849-1410
Phone Number
918-991-3654
Fax Number
Provider Business Mailing Address Details
Address
605 N Elm St
City
State
Zip
74849-1410
Phone Number
918-991-3654
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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