Lacy Holliday Adeyanju, LCSW
Social Worker, Clinical in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1134535800
StatusActive
Last updated in NPPESFeb 3, 2023
Details
- NPI
- 1134535800
- Entity type
- Individual (NPI-1)
- Name
- Lacy Holliday Adeyanju
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2014
- Certification date
- Feb 3, 2023
- Last updated
- Feb 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8116-C | NV | Yes |
Other names
- Lacy Leigh Holliday (Former Name)
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-768-7407
Mailing address
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
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