Lydia M. Staten is a Mental Health in Jackson, Mississippi. Lydia M. Staten practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Lydia M. Staten is 1679788616. The last update date is 2012-05-25.
Lydia M. Staten's current location address is 1820 Highway 80 West, Jackson, Mississippi. You can contact this provider via phone number 6015407105. The mailing address for Lydia M. Staten is 1820 Highway 80 West, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lydia M. Staten |
|---|---|
| Address | 1820 Highway 80 West, Jackson, Mississippi |
| Phone Number | 6015407105 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679788616 |
|---|---|
| Provider Enumeration Date | 2007-05-12 |
| Last Updated Date | 2012-05-25 |
Provider Mailing Address Detail
| Address | 1820 Highway 80 West |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392042056 |
| Phone Number | 6015407105 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C0715 |
|
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 |
|---|---|---|---|
| 120550 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lydia M. Staten by the Centers for Medicare & Medicaid Services?
The Lydia M. Staten has been assigned the NPI (National Provider Identifier) 1679788616. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lydia M. Staten is physically located?
The Lydia M. Staten is situated at the following address: 1820 Highway 80 West, Jackson, MS 392042056.
What is Lydia M. Staten's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lydia M. Staten is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
When was the Lydia M. Staten's 1679788616 issued?
The Lydia M. Staten's 1679788616 was issued on 2007-05-12.
As of what date were the details related to Lydia M. Staten most recently updated or revised?
The information pertaining to Lydia M. Staten, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-25.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA