Individual
DEREK CHRISTOPHER LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 455-6528
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-6151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01887
RI
Other
Enumeration date
08/24/2022
Last updated
10/08/2025
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