Provider Demographics
NPI:1962272195
Name:GRIEB, LACY FAITH (CMHC)
Entity type:Individual
Prefix:
First Name:LACY
Middle Name:FAITH
Last Name:GRIEB
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11883 PERRY HWY STE D
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7353
Mailing Address - Country:US
Mailing Address - Phone:724-987-2993
Mailing Address - Fax:
Practice Address - Street 1:11883 PERRY HWY STE D
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7353
Practice Address - Country:US
Practice Address - Phone:724-987-2993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health