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LACY BOUTWELL
NPI 1164998928
Speech-Language Pathologist in Warner Robins, GA

Active since October 19, 2018
524 S HOUSTON LAKE RD STE B300, WARNER ROBINS, GA 31088(678) 910-3940(404) 464-0819 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacy Boutwell NPPES

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

LACY BOUTWELL (NPI 1164998928) is an individual speech-language pathologist provider in Warner Robins, Georgia, licensed in Georgia (SLP008941) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1164998928
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLACY BOUTWELL
Location Address524 S HOUSTON LAKE RD STE B300Warner Robins, GA 31088-9042
Mailing Address107 Grand View AveKathleen, GA 31047-2747 · (678) 910-3940 · Fax (404) 464-0819
Phone(678) 910-3940
Fax(404) 464-0819
Sole ProprietorNo
Enumeration DateOctober 19, 2018
✔ NPI 1164998928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in GA · SLP008941
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
524 S HOUSTON LAKE RD STE B300, Warner Robins, GA 31088
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Other Providers at the Same Location NPPES 2

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

IMPACT THERAPY OF GEORGIA
Speech-Language Pathologist
524 S HOUSTON LAKE RD STE B300
WARNER ROBINS, GA 31088
Houston County (678) 910-3940
JORDAN DOWD
Speech-Language Pathologist
524 S HOUSTON LAKE RD STE B300
WARNER ROBINS, GA 31088
Houston County (678) 910-3940

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 Lacy Boutwell's NPI number?

The NPI number for Lacy Boutwell is 1164998928. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Where is Lacy Boutwell located?

Lacy Boutwell practices at 524 S Houston Lake Rd Ste B300, Warner Robins, GA 31088. The listed phone number is (678) 910-3940.

What is Lacy Boutwell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Lacy Boutwell was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.