Individual provider · Type 1 NPI

Miriam Reishun Lyde, LCMHC, LCAS-P

Addiction (Substance Use Disorder) Counselor · Lexington, NC

NPI number 1194080622 Active

Practice location

820 Grimes Blvd
Lexington, NC 27292-7640

Call (336) 224-6071 Map

Fax (336) 224-6393

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice locations

  • 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 · (336) 718-3550

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLPCA11494 (NC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194080622

Miriam Reishun Lyde, LCMHC, LCAS-P's National Provider Identifier is 1194080622, issued on Jul 11, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lexington, NC. The record was last updated on Jul 22, 2020.