LACY ELIZABETH MOON MSW U/S, LMSW
NPI 1639415581
Counselor - Mental Health in Hollis, OK

Q: What is Lacy Moon's NPI number?

The NPI number for Lacy Moon is 1639415581. It was assigned to this individual provider in the NPPES registry on December 21, 2012.

Q: What is Lacy Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lacy Moon was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 21, 2012

400 E SYCAMORE ST, HOLLIS, OK 73550(580) 688-2800 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2018, Mar 16, 2017, Feb 2, 2017 (3 updates tracked since 2017).

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About Lacy Elizabeth Moon Msw U/s, Lmsw NPPES

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

LACY ELIZABETH MOON MSW U/S, LMSW (NPI 1639415581) is an individual mental health provider in Hollis, Oklahoma, licensed in Oklahoma (5836-P) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1639415581

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLACY ELIZABETH MOONCredential: MSW U/S, LMSW

Location Address400 E SYCAMORE STHollis, OK 73550-1436

Mailing Address400 E Sycamore StHollis, OK 73550-1436 · (580) 688-2800

Phone(580) 688-2800

Sole ProprietorYes

Enumeration DateDecember 21, 2012

Last NPPES UpdateMarch 20, 20183 updates tracked since enumeration

✔ NPI 1639415581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OK · 5836-P

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

400 E SYCAMORE ST, Hollis, OK 73550

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Other Providers at the Same Location NPPES 14

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

DR. WILLIAM J KOK MD

Family Medicine