Provider Demographics
NPI:1285188250
Name:DAVID, LACEY ANNE
Entity Type:Individual
Prefix:MS
First Name:LACEY
Middle Name:ANNE
Last Name:DAVID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 SALTER ST
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5231
Mailing Address - Country:US
Mailing Address - Phone:318-664-7533
Mailing Address - Fax:
Practice Address - Street 1:2525 YOUREE DR
Practice Address - Street 2:SUITE 110
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3671
Practice Address - Country:US
Practice Address - Phone:318-742-3408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor