Lacy M Deese, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1466 Issued in MS

Legal business name

LACY M DEESE, LLC

Doing business as

Adva

Practice address

1600 N State St
Suite 100
Jackson, MS 39202-1689

Phone

(601) 670-6444

NPI assigned

Sep 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lacy M Deese, LPCNPI 1104150093

Title

Licensed Professional Counselor

Phone

(601) 670-6444

Specialties & licenses 1

Addresses

Other names 1

• Adva Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lacy Deese, LPC

  • Professional Counselor
  • Ridgeland, MS
  • NPI 1104150093
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1194059964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E LEAKE ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564325",
            "telephone_number": "601-670-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N STATE ST",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021689",
            "telephone_number": "601-670-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACY M DEESE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "DEESE",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "601-670-6444",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Lanise Cooper Lacey, N.P.
• Lauren Lacey
• Van L Lackey, M.D.
• Wanda Lacy
• Andrew Nicolas Ladner, MD
• Brittany Galle Ladner, LPTA
• Mark Edmund Ladner, M.D.
• Taylor Marie Ladner

• Professional Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.