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DR. LACEY VIVIENNE MOFFATT PSYD, LPC
NPI 1154119360
Counselor - Mental Health in Shreveport, LA

Active since April 28, 2025
648 ELMWOOD ST, SHREVEPORT, LA 71104(318) 470-5434(318) 470-5434 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lacey Vivienne Moffatt Psyd, Lpc NPPES

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

DR. LACEY VIVIENNE MOFFATT PSYD, LPC (NPI 1154119360) is an individual mental health provider in Shreveport, Louisiana, licensed in Texas (68380) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1154119360
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. LACEY VIVIENNE MOFFATTCredential: PSYD, LPC
Location Address648 ELMWOOD STShreveport, LA 71104-4902
Mailing Address648 Elmwood StShreveport, LA 71104-4902 · (318) 470-5434 · Fax (318) 470-5434
Phone(318) 470-5434
Fax(318) 470-5434
Sole ProprietorYes
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1154119360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 68380
648 ELMWOOD ST, Shreveport, LA 71104
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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 Lacey Moffatt's NPI number?

The NPI number for Lacey Moffatt is 1154119360. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Lacey Moffatt located?

Lacey Moffatt practices at 648 Elmwood St, Shreveport, LA 71104. The listed phone number is (318) 470-5434.

What is Lacey Moffatt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lacey Moffatt was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.