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 |
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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 |
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Provider Enumeration Date | 2007-11-19 |
Last Updated Date | 2020-05-01 |
Provider Mailing Address Detail
Address | 350 Salem Rd Ste 1 |
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City | Conway |
State | Arkansas (AR) |
Post Code | 720346166 |
Phone Number | 5013368300 |
Fax Number | 5013295508 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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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 | -- |
Post Comment/ Review Below
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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