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Organization

LYDIA PLACE A NONPROFIT CORPORATION

Active
Other names
Lydia Place
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN SMITH LICSW (CLINICAL DIRECTOR)
(360) 671-7663
Entity
Organization

Contact information

Practice address
1430 NORTH GARDEN STREET, BELLINGHAM, WA 98226
(360) 671-7663
(360) 933-9739
Mailing address
PO BOX 28487, BELLINGHAM, WA 98228
(360) 671-7663
(360) 933-9739

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/11/2018
Last updated
03/24/2020
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