Organization
LYDIAS SMALL UNIQUE MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA TIGGS (OWNER)
(706) 883-5801
Entity
Organization
Contact information
Practice address
312 RENDER ST, LAGRANGE, GA 30241-3418
(706) 883-5801
Mailing address
312 RENDER ST, LAGRANGE, GA 30241-3418
(706) 883-5801
(706) 416-2490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/23/2023
Last updated
03/05/2025
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