LACY MICHELLE ALLEN WATKINS

COCOA, FL
NPI1902158918
Former NameLACY MICHELLE ALLEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH11112)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  5544)
Enumeration Date2012-10-15
Last Update Date2012-10-15
Business Address
-- LACY MICHELLE ALLEN WATKINS LMHC, CAP, DCC
906 PEACHTREE ST
COCOA, FL 32922-7223
Phone number: 321-806-2846
Mailing Address
-- LACY MICHELLE ALLEN WATKINS LMHC, CAP, DCC
704 SAMUEL CHASE LN
WEST MELBOURNE, FL 32904-7501
Phone number: 321-432-5119