Individual
BARBARA SUE LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4110 HIGHWAY 31 SOUTH, DECATUR, AL 35603
(256) 355-6105
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
3122
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051531112
BCBS OF AL PROVIDER #
AL
Enumeration date
12/05/2006
Last updated
08/24/2017
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