Individual
LACEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 GATEWAY DR STE 7-8B, BEL AIR, MD 21014-4268
(410) 846-0095
Mailing address
4913 KLEE MILL RD S, SYKESVILLE, MD 21784-9224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ATG252
MD
101YM0800X
Mental Health Counselor
Primary
LGP10610
MD
Other
Enumeration date
07/10/2020
Last updated
07/08/2025
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