National Provider Identifier
Marcus Lacey Smith
Marcus Lacey Smith is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Syracuse, NY and a listed phone number of (315) 391-8482.
Source: public NPPES record, last updated October 28, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1083378764
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- October 28, 2021
- Last Updated
- October 28, 2021
Practice Location
- 1106 E Genesee St
- Syracuse, NY 13210-1901
Phone: (315) 391-8482
Specialties
- Mental Health Counselor (101YM0800X)
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Biography
Marcus Lacey Smith is a Syracuse-based mental health counselor who has held a New York license in mental health counseling since December 2012, according to the state’s primary-source license verification. Public records identify his practice location in Syracuse, with no stronger public health-system, faculty, research, or leadership profile readily available.
Full Record
- NPI
- 1083378764
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Marcus
- Middle Name
- Lacey
- Name Prefix
- Mr.
- Mailing Street Address
- 1106 E Genesee St
- Mailing City
- Syracuse
- Mailing State
- NY
- Mailing ZIP Code
- 13210-1901
- Mailing Country
- US
- Practice Street Address
- 1106 E Genesee St
- Practice City
- Syracuse
- Practice State
- NY
- Practice ZIP Code
- 13210-1901
- Practice Country
- US
- Practice Phone
- (315) 391-8482
- Enumeration Date
- October 28, 2021
- Last Updated
- October 28, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- October 28, 2021
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 005367 (NY, Lmhc)