Lydia Jeannine Burris in Conway - Mental Health

Lydia Jeannine Burris - NPI 1306027339

Lydia Jeannine Burris is a Mental Health in Conway, Arkansas. Lydia Jeannine Burris practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Lydia Jeannine Burris is 1306027339. The last update date is 2020-05-01.

Lydia Jeannine Burris's current location address is 350 Salem Rd Ste 1, Conway, Arkansas. You can contact this provider via phone number 5013368300 and fax number 5013295508. The mailing address for Lydia Jeannine Burris is 350 Salem Rd Ste 1, Conway, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lydia Jeannine Burris
Address 350 Salem Rd Ste 1, Conway, Arkansas
Phone Number 5013368300
Fax Number 5013295508
Sole Proprietor N
Credentials LPC

NPI Number Detail

NPI Number 1306027339
Provider Enumeration Date 2007-11-19
Last Updated Date 2020-05-01

Provider Mailing Address Detail

Address 350 Salem Rd Ste 1
City Conway
State Arkansas (AR)
Post Code 720346166
Phone Number 5013368300
Fax Number 5013295508

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No P0802024
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
227121719 AR --

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FAQs about Lydia Jeannine Burris

What is the unique 10-digit identifier code assigned to Lydia Jeannine Burris by the Centers for Medicare & Medicaid Services?

The Lydia Jeannine Burris has been issued the NPI (National Provider Identifier) 1306027339 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Lydia Jeannine Burris is located?

The Lydia Jeannine Burris is situated at the following address: 350 Salem Rd Ste 1, Conway, AR, 720346166.

What is the Lydia Jeannine Burris's area of specialization and corresponding taxonomy classification?

The Lydia Jeannine Burris's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.

When was the Lydia Jeannine Burris's 1306027339 issued?

The Lydia Jeannine Burris's 1306027339 was issued on 2007-11-19.

When was the information related to Lydia Jeannine Burris most recently updated or refreshed?

The details pertaining to the Lydia Jeannine Burris, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-05-01.

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