Lacey, Antonio D

Lacey, Antonio D is an individual health care provider with primary practice located at 1324 Crestmark Blvd , Lithia Springs GA 30122-4428. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Lacey, Antonio D can be contacted via phone (770) 728-3468.

Contact Information

Primary practice address
1324 Crestmark Blvd Lithia Springs GA 30122-4428
Phone: (770) 728-3468
Fax: (404) 591-6748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1093057382
LBN Legal business name Lacey, Antonio D
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2013
Last updated Mar 25th, 2013 - about 13 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.

Request for update

Popular Providers