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CHANNING RENEE LACKEY
NPI 1104384635
Counselor - Addiction (Substance Use Disorder) in Corona, CA

Active since March 04, 2019
222 W 6TH ST, CORONA, CA 92882(888) 682-6282 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2020, Mar 4, 2019 (2 updates tracked since 2019).

About Channing Renee Lackey NPPES

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

CHANNING RENEE LACKEY (NPI 1104384635) is an individual addiction (substance use disorder) provider in Corona, California and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1104384635
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHANNING RENEE LACKEY
Location Address222 W 6TH STCorona, CA 92882-3301
Mailing Address13267 Roswell AveChino, CA 91710-4771 · (909) 680-8019
Phone(888) 682-6282
Sole ProprietorNo
Enumeration DateMarch 4, 2019
Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1104384635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
222 W 6TH ST, Corona, CA 92882
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Other Providers at the Same Location NPPES 10

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

NATALIE OLAIZ LVN
Licensed Vocational Nurse
222 W 6TH ST
CORONA, CA 92882
Riverside County (886) 826-2828
SHAUN KELLEY
Licensed Vocational Nurse
222 W 6TH ST
CORONA, CA 92882
Riverside County (951) 349-4695
JISEUNG YOON MD
Preventive Medicine (Addiction Medicine)
222 W 6TH ST
CORONA, CA 92882
Riverside County (909) 485-7974
AMATALLC
Clinic/Center (Methadone)
222 W 6TH ST
CORONA, CA 92882
Riverside County (909) 379-9237
DANIEL EDWARD LEANOS
Counselor
222 W 6TH ST
CORONA, CA 92882
Riverside County (888) 682-6282
CAROLINA ISABELL GOMEZ LVN
Licensed Vocational Nurse
222 W 6TH ST
CORONA, CA 92882
Riverside County (888) 682-6282
STEPHANIE G HUFF
Licensed Vocational Nurse
222 W 6TH ST
CORONA, CA 92882
Riverside County (888) 682-6282
STEPHANIE CRISTINA ZATARAIN PHYSICIAN ASSISTANT
Physician Assistant
222 W 6TH ST
CORONA, CA 92882
Riverside County (951) 278-2530

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 Channing Lackey's NPI number?

The NPI number for Channing Lackey is 1104384635. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Channing Lackey located?

Channing Lackey practices at 222 W 6th St, Corona, CA 92882. The listed phone number is (888) 682-6282.

What is Channing Lackey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Channing Lackey was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.