LACEY L LAIRD (NPI# 1720627219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720627219 |
| Entity Type | Individual |
| Full Name | LACEY L LAIRD |
| Credential | MHP |
| Practice Address |
4110 N Water Tower Pl Mount Vernon IL 62864-6295 |
| Mailing Address |
14340 N Pump House Ln Mount Vernon IL 62864-8740 |
| Practice Telephone | 6182428266 |
| Practice Fax Number | 6182421150 |
| Mailing Telephone | 6182042647 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4110 N WATER TOWER PL |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376768531 | Amy Elizabeth Barton | Counselor | 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 | 2007-04-14 |
| 1962001206 | Mckynzi Ash | Counselor | 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 | 2020-10-19 |
| 1679198246 | Renee Zoll | Counselor | 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 | 2020-06-10 |
| 1972128544 | Mallory Johnston | Counselor | 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 | 2020-06-10 |
| 1356976385 | Amanda Coryell | Counselor | 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 | 2020-03-10 |
| 1851935191 | Kelley Dawn Taylor | Counselor | 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 | 2019-10-30 |
| 1417507922 | Kim Ann Collins | Counselor | 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 | 2019-09-17 |
| 1063072098 | Jon Christian Minor | Counselor | 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 | 2019-06-20 |
| 1912566944 | Kellie Nicole Sigrist | Counselor | 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 | 2019-06-12 |
| 1447748074 | Azure Newman | Counselor | 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 | 2018-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1619503489 | Camille Elise Keefe | Counselor | 301 Valley Mall Way Ste 100, Mount Vernon, WA 98273-5462 | 2020-03-12 |
| 1720540396 | Erica Parker-jackson | Counselor | 27 Melrose Ave, Mount Vernon, NY 10552-3108 | 2019-04-03 |
| 1588107585 | Christopher M Reid | Counselor | 306 Highway 1 S Ste B, Mount Vernon, IA 52314-9501 | 2016-11-22 |
| 1093262933 | Kristine Grace Ford | Counselor | 2203 Old Hwy 99 S, Mount Vernon, WA 98273 | 2016-09-08 |
| 1568919082 | Douglas Bryant Srour | Counselor | 256 Washington Street, Mount Vernon, NY 10553 | 2016-09-01 |
| 1629442959 | Whitney Baldridge | Counselor | 16342 N Il Highway 37, Mount Vernon, IL 62864-8178 | 2015-11-24 |
| 1811368343 | Lessie Lacy | Counselor | 423 S 8th Ave, Mount Vernon, NY 10550-4326 | 2015-10-09 |
| 1588044887 | Haile Selassie | Counselor | 138 S Columbus Ave, Mount Vernon, NY 10553-1337 | 2015-06-02 |
| 1336543412 | Randy Graeme Bennett | Counselor | 120 E Fir St Ste 102, Mount Vernon, WA 98273-2964 | 2014-10-17 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on LACEY L LAIRD.
| 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.