Lacy Allen Watkins's National Provider Identifier (NPI) Details
Lacy Allen Watkins, LMHC, CAP, DCC
NPI: 1902158918
Enumeration Date: 2012-10-15
Last updated: 2012-10-15
Sole Proprietor: YES
Status: active
Postal Address: 704 SAMUEL CHASE LN, WEST MELBOURNE, FL
Phone: 321-432-5119
Primary Practice Address: 906 PEACHTREE ST, COCOA, FL
Practice's phone: 321-806-2846