Individual
MRS. LACEY JO WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PLPC
Contact information
Practice address
2131 S EASTGATE AVE, SPRINGFIELD, MO 65809-2146
(417) 763-3309
Mailing address
2131 S EASTGATE AVE, SPRINGFIELD, MO 65809-2146
(417) 763-3309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017030034
MO
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us