Organization
LACY M. SUBY, PLLC
Active
Other names
Level Up Mental Health Collaborative
Organization subpart
No
Provider details
NPI number
Authorized official
LACY SUBY (OWNER)
(701) 330-4348
Entity
Organization
Contact information
Practice address
2300 LIBRARY CIR, GRAND FORKS, ND 58201-6328
(017) 570-4777
(001) 772-1763
Mailing address
2300 LIBRARY CIR, GRAND FORKS, ND 58201-6328
(701) 757-0477
(701) 772-1763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1476569
—
ND
Enumeration date
06/29/2020
Last updated
07/09/2021
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