Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelli Beth Lacy, PRSS

Individual provider Peer Specialist · NPI 1013643352

Kelli Beth Lacy, PRSS is a Peer Specialist in Logan, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.

Licensed in
WV
In the registry since
2022

Practice location Address checks out

509 Main St
Logan, WV 25601-3809
Phone: (304) 896-5008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 21-913 (WV)

Record details

NPI number1013643352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PRSS
Sole proprietorNo
NPI enumeratedJuly 28, 2022
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address509 Main St, Logan, WV 25601-3809

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