Green, Lacy

Green, Lacy is an individual health care provider with primary practice located at 1719 Merrill Dr , Little Rock AR 72212-4009. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Green, Lacy can be contacted via phone (501) 663-2199.

Contact Information

Primary practice address
1719 Merrill Dr Little Rock AR 72212-4009
Phone: (501) 663-2199
Fax: (501) 663-2234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8038-C Arkansas

Profile Details

NPI number 1174973150
LBN Legal business name Green, Lacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2016
Last updated Dec 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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