Alesia Lacy, LCPC

Individual provider Active NPI Professional Counselor · Hampton Cove, AL

NPI 1154017754 · NPPES record last updated Apr 17, 2023

Key facts

NPI
1154017754
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
180.015133 (IL)
Practice address
2710 Kentshire Cir SE
Hampton Cove, AL 35763-9305
Phone
(256) 298-0068
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180.015133ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.015133 IL Yes

Addresses

Primary practice location

2710 Kentshire Cir SE
Hampton Cove, AL 35763-9305

Mailing address

2710 Kentshire Cir SE
Hampton Cove, AL 35763-9305
Phone (256) 298-0068

Other providers in Hampton Cove, AL

All providers in Hampton Cove, AL · Professional Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.