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NPI Code Detail

MEDICARE: LACEY REIKOWSKY LPC

MEDICARE:   LACEY  REIKOWSKY  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor4300OK
2101Y00000XCounselor
3101YP2500XProfessional Counselor4300OK

General Provider Information

NPI Number : 1356770911
Entity Type Code : Individual
Provider Name (Legal Business Name) : LACEY REIKOWSKY LPC
Provider Business Mailing Address
First Line : 3000 UNITED FOUNDERS BLVD STE 148
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4290
Country : US
Telephone Number : 405-401-5725
Fax Number :
Provider Business Practice Location Address
First Line : 3000 UNITED FOUNDERS BLVD STE 148
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4290
Country : US
Telephone Number : 405-401-5725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2013
Last Update Date : 02/12/2026

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Directions to “ LACEY REIKOWSKY LPC” Practice Location

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