Dr. Rachel Kelli Lacy
Health Psychologist Clinical Psychologist Forensic Psychologist Rehabilitation Psychologist and 4 more
1805 Herrington Rd Building 3, Ste. 3-B
Lawrenceville
, Georgia 30043-7987
Dr. Rachel Kelli Lacy
Health Psychologist Clinical Psychologist Forensic Psychologist Rehabilitation Psychologist and 4 more
1805 Herrington Rd Building 3, Ste. 3-B
Lawrenceville
, Georgia 30043-7987
(770) 962-1886
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About
Features
Specialties
- Clinical Psychologist
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
- Forensic Psychologist
- Health Psychologist
- Intellectual & Developmental Disabilities
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Rachel Kelli Lacy
- Po Box 58
- Flowery Branch, GA
- Zip : 30542-0001
- Fax : (770) 962-1886
- Phone : (770) 722-7827
Second Address
- Dr. Rachel Kelli Lacy
- 1805 Herrington Rd Building 3, Ste. 3-B
- Lawrenceville, GA
- Zip : 30043-7987
- Fax : (770) 760-0624
- Phone : (770) 722-7827
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY002801 | GA |
| Y | 103TC0700X | Clinical Psychologist | PSY002801 | GA |
| N | 103TA0700X | Adult Development & Aging Psychologist | PSY002801 | GA |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY002801 | GA |
| N | 103G00000X | Clinical Psychologist | PSY002801 | GA |
| N | 103TC0700X | Clinical Psychologist | PSY002801 | GA |
| N | 103TF0200X | Forensic Psychologist | PSY002801 | GA |
| N | 103TH0004X | Health Psychologist | PSY002801 | GA |
| N | 103TM1800X | Intellectual & Developmental Disabilities | PSY002801 | GA |
| N | 103TR0400X | Rehabilitation Psychologist | PSY002801 | GA |
National Provider Identifier
| NPI | 1760690960 |
|---|---|
| Provider Name | Dr. Rachel Kelli Lacy |
| First Address | Flowery Branch, GA 30542-0001 |
| Second Address | Lawrenceville, GA 30043-7987 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2007 |
| Last Update Date | 29/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Q42064 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.