KELLI BETH LACY PRSS
NPI 1013643352
Peer Specialist in Logan, WV

Active since July 28, 2022

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelli Beth Lacy Prss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI BETH LACY PRSS (NPI 1013643352) is an individual peer specialist in Logan, West Virginia, licensed in West Virginia (21-913) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1013643352
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLI BETH LACYCredential: PRSS
Location Address509 MAIN STLogan, WV 25601-3809
Mailing Address509 Main StLogan, WV 25601-3809 · (304) 896-5008
Sole ProprietorNo
Enumeration DateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
NPI 1013643352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in WV · 21-913
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

509 MAIN ST, Logan, WV 25601

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
509 MAIN ST
LOGAN, WV 25601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Lacy's NPI number?

The NPI number for Kelli Lacy is 1013643352. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Kelli Lacy located?

Kelli Lacy practices at 509 Main St, Logan, WV 25601. The listed phone number is (304) 896-5008.

What is Kelli Lacy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kelli Lacy was last updated on July 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.