# WILLIAM T LAVELY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871927822
- **Gender:** Man
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3008244 | KY | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 71004684A | IN | — |

## Other

- **Enumeration date:** 08/27/2013
- **Last updated:** 10/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1063415297 | GROUP NUMBER - PARK VIEW MD GROUP | — |
| 01 | — | 1487872636 | GROUP NUMBER - PARK VIEW ARNP GROUP | — |
| 05 | — | 201198690 | — | IN |