Individual provider · Type 1 NPI
Lydia Elyse Shively, ATR-P, LCMHCA
Mental Health Counselor · Hampstead, NC
NPI number
1174209019
Active
Practice location
386 Waldorf Way
Hampstead, NC 28443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A18504 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1174209019
Lydia Elyse Shively, ATR-P, LCMHCA's National Provider Identifier is 1174209019, issued on Jun 26, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hampstead, NC. The record was last updated on Jun 26, 2023.