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LAROY LACKEY
NPI 1780982454
Counselor - Mental Health in Fairview, OR

Active since March 04, 2011
1945 NE 205TH AVE, FAIRVIEW, OR 97024(503) 661-8050(503) 492-4651 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Laroy Lackey NPPES

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

LAROY LACKEY (NPI 1780982454) is an individual mental health provider in Fairview, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1780982454
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLAROY LACKEY
Location Address1945 NE 205TH AVEFairview, OR 97024-9622
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(503) 661-8050
Fax(503) 492-4651
Sole ProprietorYes
Enumeration DateMarch 4, 2011
Last NPPES UpdateNovember 1, 2023
NPPES CertifiedJune 14, 2022
✔ NPI 1780982454 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 · PROFESSIONALLICENSE
1945 NE 205TH AVE, Fairview, OR 97024
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Other Providers at the Same Location NPPES 20

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

HANNAH LYNN RAVEN-FISH
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050
COLUMBIACARE SERVICES
Psychiatric Residential Treatment Facility
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 660-8050
LISA CORDERO
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050
LARA LOUGHLIN
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (541) 858-8170
DENISE MADDOCK
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050
SARAH BOURGEOIS
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050
CLINTON STIFFLER
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050
JOANNE STEINHAUER
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050

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 Laroy Lackey's NPI number?

The NPI number for Laroy Lackey is 1780982454. It was assigned to this individual provider in the NPPES registry on March 4, 2011.

Where is Laroy Lackey located?

Laroy Lackey practices at 1945 NE 205th Ave, Fairview, OR 97024. The listed phone number is (503) 661-8050.

What is Laroy Lackey'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 Laroy Lackey was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.