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LACY DAWN ELLIOTT
NPI 1700471778
Peer Specialist in Konawa, OK

Active since March 02, 2021
605 N ELM ST, KONAWA, OK 74849(918) 991-3654 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lacy Dawn Elliott NPPES

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

LACY DAWN ELLIOTT (NPI 1700471778) is an individual peer specialist in Konawa, Oklahoma and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1700471778
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLACY DAWN ELLIOTT
Location Address605 N ELM STKonawa, OK 74849-1410
Mailing Address605 N Elm StKonawa, OK 74849-1410 · (918) 991-3654
Phone(918) 991-3654
Sole ProprietorYes
Enumeration DateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1700471778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
605 N ELM ST, Konawa, OK 74849
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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 Lacy Elliott's NPI number?

The NPI number for Lacy Elliott is 1700471778. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Lacy Elliott located?

Lacy Elliott practices at 605 N Elm St, Konawa, OK 74849. The listed phone number is (918) 991-3654.

What is Lacy Elliott'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 Lacy Elliott was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.