MIRIAM REISHUN LYDE LCMHCLCAS-P NPI 1194080622

NPI Information

NPI: 1194080622
Provider Name: MIRIAM REISHUN LYDE, LCMHC,LCAS-P
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
820 GRIMES BLVD
LEXINGTON, NC
ZIP 27292
Phone: (336) 224-6071
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Miriam Reishun Lyde, LCMHC,LCAS-P is an addiction (substance use disorder) counselor in Lexington, NC. Miriam Reishun Lyde, LCMHC,LCAS-P NPI is 1194080622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

820 GRIMES BLVD
LEXINGTON, NC
ZIP 27292-640
Phone: (336) 224-6071
Fax: (336) 224-6393

The enumeration date for this NPI number is 7/11/2012 and was last updated on 7/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	101YP2500X	Counselor	Professional	LPCA11494	NORTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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