Individual
LACY HICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7318700-6009
UT
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
7318700-3503
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2021
Last updated
05/28/2024
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