1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Counselor
  6. NPI Profile

WANDA LACY
NPI 1972930600
Counselor - Professional in Jackson, MS

Active since September 26, 2013
3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 321-2497(601) 321-2476 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wanda Lacy NPPES

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

WANDA LACY (NPI 1972930600) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (1788) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1972930600
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameWANDA LACY
Location Address3450 HIGHWAY 80 WJackson, MS 39209-7201
Mailing Address3450 Highway 80 WJackson, MS 39209-7201 · (601) 321-2497 · Fax (601) 321-2476
Phone(601) 321-2497
Fax(601) 321-2476
Sole ProprietorNo
Enumeration DateSeptember 26, 2013
✔ NPI 1972930600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 1788
3450 HIGHWAY 80 W, Jackson, MS 39209
Open in Google Maps ↗

Other Identifiers 1

Medicaid00018209MS

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.

ELLEEANNA LAWSON CAT,LMSW
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
MEGAN M MCCARTY LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANGELA NICOLE CHILDRESS LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MRS. EBONY HUMPHERY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANDRIA WILLIS BSW
Case Manager/Care Coordinator
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (769) 257-4562
BRENDA WALKER
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
EVE WILLIAMS
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MS. ANGELICA GOWDY PCMHT
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400

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 Wanda Lacy's NPI number?

The NPI number for Wanda Lacy is 1972930600. It was assigned to this individual provider in the NPPES registry on September 26, 2013.

Where is Wanda Lacy located?

Wanda Lacy practices at 3450 Highway 80 W, Jackson, MS 39209. The listed phone number is (601) 321-2497.

What is Wanda Lacy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Wanda Lacy was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.