Individual
MISS LACEY MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
304 E JACKSON ST STE 3B, WILLARD, MO 65781-9472
(417) 693-0120
(417) 222-3367
Mailing address
105 PEBBLE CREEK LN, WILLARD, MO 65781-8152
(417) 693-0120
(417) 222-3367
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014042626
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740681394
—
MO
Enumeration date
09/12/2014
Last updated
05/21/2025
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