LYDIA MISCHA LACY (NPI# 1578065280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578065280 |
| Entity Type | Individual |
| Full Name | LYDIA MISCHA LACY |
| Credential | MA.CCC.SLP |
| Practice Address |
342 Mccook Cir Nw Kennesaw GA 30144-3157 |
| Practice Telephone | 8104992767 |
| Mailing Telephone | 8104992767 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP008693 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
342 MCCOOK CIR NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-3157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992618 | Lindsey M Nelson | Speech-Language Pathologist | 1320 Valley Reserve Dr Nw, Kennesaw, GA 30152-4847 | 2020-04-30 |
| 1730711664 | Spot On Educational Resources LLC | Speech-Language Pathologist | 2180 Kildare Way Nw, Kennesaw, GA 30152-5842 | 2020-02-09 |
| 1669939500 | Danielle Brown | Speech-Language Pathologist | 3105 Creekside Village Dr Nw # 603604, Kennesaw, GA 30144-2394 | 2019-02-27 |
| 1447714472 | Ellen Rebecca Grade | Speech-Language Pathologist | 3105 Creekside Village Dr Nw Ste 604, Kennesaw, GA 30144-4218 | 2019-01-23 |
| 1346714672 | Brooke Chesnut | Speech-Language Pathologist | 3105 Creekside Village Dr Nw Ste 602-604, Kennesaw, GA 30144-2394 | 2019-01-21 |
| 1184107492 | Melanie L Sarris | Speech-Language Pathologist | 1002 Evian Way Nw, Kennesaw, GA 30152-3899 | 2018-09-12 |
| 1033600895 | Ashley Danielle Camon | Speech-Language Pathologist | 2025 Barrett Lakes Blvd Nw Apt 1101, Kennesaw, GA 30144-3821 | 2018-05-28 |
| 1104345552 | Celeste A Whirt | Speech-Language Pathologist | 3935 Cooks Farm Ln Nw, Kennesaw, GA 30152-4003 | 2017-09-18 |
| 1346799335 | Christina Resolus | Speech-Language Pathologist | 3075 Elmendorf Ln Nw, Kennesaw, GA 30144-7426 | 2016-10-02 |
| 1740632025 | Chelsea Mccown | Speech-Language Pathologist | 3105 Creekside Village Dr Nw Ste 603604, Kennesaw, GA 30144-2394 | 2016-07-11 |
| Find all providers in KENNESAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.