Lopez, Lacey Michelle

Lopez, Lacey Michelle is an sole proprietor health care provider with primary practice located at 1007 W Congress St , Brookhaven MS 39601-2603. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lopez, Lacey Michelle can be contacted via phone (601) 327-1225.

Contact Information

Primary practice address
1007 W Congress St Brookhaven MS 39601-2603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C8769 Mississippi

Profile Details

NPI number 1508525197
LBN Legal business name Lopez, Lacey Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2021
Last updated Dec 11th, 2021 - about 3 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.

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