MISS LACEY MARIE WILSON (NPI# 1740681394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740681394 |
| Entity Type | Individual |
| Full Name | MISS LACEY MARIE WILSON |
| Credential | MS, LPC |
| Practice Address |
1212 W Lombard St Springfield MO 65806-2720 |
| Mailing Address |
305 Arrowhead Rd Willard MO 65781-9235 |
| Practice Telephone | 4178651646 |
| Practice Fax Number | 4178661483 |
| Mailing Telephone | 4176930120 |
| Mailing Fax Number | 8553488214 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2014042626 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1740681394 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 107 Willey St # 346, Willard, MO 657819998 | 4177309198 | 8553488214 |
| 305 Arrowhead Rd, Willard, MO 657819235 | 4176930120 | 8553488214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730981 | Lacey Patricia Wilson | Nurse Practitioner | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2018-08-15 |
| 1730616566 | Lacey Wilson | Counselor | 1160 Camp St, New Orleans, LA 70130-4202 | 2017-05-11 |
| 1578001855 | Lacey Wilson | Licensed Practical Nurse | 418 Colegate Dr, Marietta, OH 45750-9549 | 2017-02-07 |
| 1730541053 | Lacey Wilson | Occupational Therapist | 9220 Kirby Dr Ste 1000, Houston, TX 77054-2534 | 2016-03-25 |
| 1720455660 | Lacey Kay Wilson | Clinic/Center | 3001 St Anthony Way, Pendleton, OR 97801 | 2015-08-26 |
| 1336586601 | Lacey Wilson | Counselor | 2626 Charles Dr, Chalmette, LA 70043-3779 | 2013-05-28 |
| Street Address |
1212 W LOMBARD ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417026683 | Holly Elizabeth Billings | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2006-11-06 |
| 1942815444 | Jacquelyn Shae Hitchcock | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2020-09-10 |
| 1174155147 | Rachel Armilda Hayter | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2020-02-07 |
| 1437710159 | Kara Steel | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2019-06-24 |
| 1518425602 | Brittani Danielle Derossett | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2019-03-07 |
| 1578916946 | Gene Estrada Garcia I | Counselor | 1212 W Lombard St, Springfield, MO 65806-2720 | 2016-07-20 |
| 1558720680 | Anne Tucker | Counselor | 1212 W Lombard St, Springfield, MO 65806-2720 | 2016-02-17 |
| 1407215783 | Darin Dunn | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2016-02-16 |
| 1164890638 | Joan Schutz | Counselor | 1212 W Lombard St, Springfield, MO 65806-2720 | 2015-09-14 |
| 1679982607 | Katherine L Hillgren | Counselor | 1212 W Lombard St, Springfield, MO 65806-2720 | 2014-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
| 1366055352 | Joshua Dauner | Counselor | 819 N Boonville Ave, Springfield, MO 65802-3831 | 2020-08-28 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1003426610 | Jy Counseling LLC | Counselor | 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 | 2020-08-07 |
| 1912526674 | Amy Christine Russell | Counselor | 317 30th St Apt 304d, Springfield, OR 97478-7619 | 2020-04-13 |
| 1588299184 | Julie Patricia Slover | Counselor | 3331 S Parkview Ave, Springfield, MO 65804-4755 | 2020-03-04 |
| 1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
| 1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
| 1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
| 1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65806 |
Please comment or provide details below to improve the information on MISS LACEY MARIE WILSON.
| 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.