Chavis, Lacy

Chavis, Lacy is an individual health care provider with primary practice located at 880 6Th St S Ste 420 , St Petersburg FL 33701-4825. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Chavis, Lacy can be contacted via phone (727) 767-8477.

Contact Information

Primary practice address
880 6Th St S Ste 420 St Petersburg FL 33701-4825
Phone: (727) 767-8477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY8429 Florida

Profile Details

NPI number 1093020786
LBN Legal business name Chavis, Lacy
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2010
Last updated Nov 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093020786 NPPES
New York Other WVE061 AGENCY MEDICARE ID#
New York Other 1285628552 AGENCY MEDICARE ID#
New York Other 00355940 AGENCY MEDICARE ID#

Popular Providers