Lacey Marie Rudisill Campbell, MS, LPC-MHSP
Counselor, Professional in Nashville, TN. Individual provider (NPI-1).
NPI number1861908899
StatusActive
Last updated in NPPESDec 28, 2017
Details
- NPI
- 1861908899
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lacey Marie Rudisill Campbell
- Credential
- MS, LPC-MHSP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2017
- Last updated
- Dec 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 3904 | TN | Yes |
Practice location
2021 Richard Jones Rd Ste 350bNashville, TN 37215-2871
Phone 615-479-2859
Mailing address
405 Brick Path Ln Apt 307Franklin, TN 37064-3184
Phone 704-648-8016
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