Provider Demographics
NPI:1528837382
Name:LACY, MONICA MICHELLE (COUNSELOR)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:MICHELLE
Last Name:LACY
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 S SALCEDO ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-2854
Mailing Address - Country:US
Mailing Address - Phone:504-439-1156
Mailing Address - Fax:504-821-0054
Practice Address - Street 1:1608 S SALCEDO ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-2854
Practice Address - Country:US
Practice Address - Phone:504-439-1156
Practice Address - Fax:504-821-0053
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator