Organization
LONE CYPRESS BEHAVIORAL HEALTH , PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA BETH KIDD ARNP, PMHNP-BC (OWNER)
(360) 251-0898
Entity
Organization
Contact information
Practice address
203 W PATISON ST STE B, PORT HADLOCK, WA 98339-8701
(360) 251-0898
(360) 251-0863
Mailing address
PO BOX 1532, PORT HADLOCK, WA 98339-1532
(360) 251-0898
(360) 251-0863
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
02/24/2022
Last updated
09/11/2025
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