Organization
LYDIA MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OFIORITSE AGBONTAEN (MANAGER/ADMINISTRATION)
(214) 517-5058
Entity
Organization
Contact information
Practice address
285 WEST SOUTHWEST PARKWAY, LEWISVILLE, TX 75067
(214) 222-3100
(214) 292-8432
Mailing address
285 WEST SOUTHWEST PARKWAY, LEWISVILLE, TX 75067
(214) 222-3100
(214) 292-8432
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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