Individual
LACY PURDUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2 EASTON OVAL STE 450, COLUMBUS, OH 43219-6035
(614) 475-9500
Mailing address
2 EASTON OVAL STE 450, COLUMBUS, OH 43219-6035
(614) 475-9500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2103393
OH
101YM0800X
Mental Health Counselor
Primary
E.2303565
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010684796
—
OH
Enumeration date
03/20/2018
Last updated
06/15/2023
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