Organization
LYDIA PLACE A NONPROFIT CORPORATION
Active
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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