Provider Demographics
NPI:1215467766
Name:HASTINGS, LACEY ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LACEY
Middle Name:ELIZABETH
Last Name:HASTINGS
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:LACEY
Other - Middle Name:ELIZABETH
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0497
Mailing Address - Country:US
Mailing Address - Phone:870-347-2534
Mailing Address - Fax:
Practice Address - Street 1:103 WOODLANE DR
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-6113
Practice Address - Country:US
Practice Address - Phone:501-268-3733
Practice Address - Fax:501-207-6139
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9553-C104100000X
AR9553-M104100000X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker