Healthcare Provider Details

I. General information

NPI: 1598696411
Provider Name (Legal Business Name): MS. LACEY BINNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1154 RIVERSIDE AVE
SOMERSET MA
02726-2841
US

IV. Provider business mailing address

125 MELODY DR
ATTLEBORO MA
02703-3400
US

V. Phone/Fax

Practice location:
  • Phone: 508-974-3323
  • Fax:
Mailing address:
  • Phone: 774-340-8601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: