Provider Demographics
NPI:1356573273
Name:MORRISSEY, LACI (MA, LMHC, NCC)
Entity type:Individual
Prefix:MRS
First Name:LACI
Middle Name:
Last Name:MORRISSEY
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-1916
Mailing Address - Country:US
Mailing Address - Phone:641-455-9167
Mailing Address - Fax:641-683-3472
Practice Address - Street 1:1313 N COURT ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-1916
Practice Address - Country:US
Practice Address - Phone:641-455-9167
Practice Address - Fax:641-683-3472
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001252101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty