# LACY M. SUBY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Level Up Mental Health Collaborative
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609493329
- **Authorized official:** LACY SUBY (OWNER)
- **Authorized official phone:** (701) 330-4348

## Contact information

- **Practice address:** 2300 LIBRARY CIR, GRAND FORKS, ND 58201-6328
- **Practice address phone:** (017) 570-4777
- **Practice address fax:** (001) 772-1763
- **Mailing address:** 2300 LIBRARY CIR, GRAND FORKS, ND 58201-6328
- **Mailing address phone:** (701) 757-0477
- **Mailing address fax:** (701) 772-1763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2020
- **Last updated:** 07/09/2021