| Doctor Name: | MR. LACY HORNE |
| NPI Number: | 1225295231 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA.,LPC.,CAAC |
| License Number: | 6401005512 |
| Business Practice Address: | 26184 Outer Dr Lincoln Park, MI - 481462084 |
| Business Phone Number: | 3133897574 |
| Business Fax Number: | 3133897515 |
| Mailing Address: | 26184 Outer Dr, LINCOLN PARK |
| State: | MI |
| Postal Code: | 481462084 |
| Phone Number: | 3133897574 |
| Fax Number: | 3133897515 |
| NPI Enumeration Date: | 05/19/2008 |
| NPI Last Update Date: | 05/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 6401005512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |