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Search › Georgia › 235Z00000X

Lacy Boutwell

NPI 1164998928 · on the registry since 2018

Practice

Address
524 S Houston Lake Rd Ste B300
Warner Robins, GA 31088
Phone
(678) 910-3940
Fax
(404) 464-0819
Organisation at this address
Lyons Center Llc
Elena Dobbs, Phd Lpc
Encompass Counseling Inc
Impact Therapy Of Georgia
Dynamic Interventions Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia