Individual
REGINA LACKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
166 ROAD 1562, TUPELO, MS 38804-8549
(601) 337-0294
Mailing address
166 ROAD 1562, TUPELO, MS 38804-8549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C11605
MS
171400000X
Health & Wellness Coach
—
MS
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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