Individual
LACY CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
880 6TH ST S STE 420, ST PETERSBURG, FL 33701-4825
(727) 767-8477
Mailing address
880 6TH ST S STE 420, ST PETERSBURG, FL 33701-4825
(727) 767-8477
(727) 767-8244
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY8429
FL
103T00000X
Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID PROVIDER ID
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
WVE061
AGENCY MEDICARE ID#
NY
Enumeration date
08/18/2010
Last updated
11/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us