Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Lynn Longo

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1558221895

Lacey Lynn Longo is an Addiction (Substance Use Disorder) Counselor in Fowler, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

1311 N 1720th Ave
Fowler, IL 62338-1016
Phone: (217) 506-2788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CADC-45328 (IL)

Record details

NPI number1558221895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 17, 2025