| Lacey Reikowsky, Lpc, Llc | |
|
3000 United Founders Blvd Ste 148 Oklahoma City OK 73112-4290 | |
| (405) 401-5725 | |
| Not Available |
| Full Name | Lacey Reikowsky, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3000 United Founders Blvd Ste 148, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Lacey Reikowsky (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4054015725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Reikowsky, Lpc, Llc 620 Sw 24th St Moore OK 73160-5515 Ph: () - | Lacey Reikowsky, Lpc, Llc 3000 United Founders Blvd Ste 148 Oklahoma City OK 73112-4290 Ph: (405) 401-5725 |
| NPI Number | 1295117356 |
|---|---|
| Provider Enumeration Date | 06/25/2015 |
| Last Update Date | 06/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295117356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 4300 (Oklahoma) | Secondary |
| 101YM0800X | Counselor - Mental Health | 4300 (Oklahoma) | Secondary |
| 101YP2500X | Counselor - Professional | 4300 (Oklahoma) | Primary |
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