Organization
ALTRUIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA LIDA HRGIC PHD,MSC (CEO)
(727) 527-7306
Entity
Organization
Contact information
Practice address
200 72ND AVE N APT 207, ST PETERSBURG, FL 33702-5938
(727) 527-7306
(727) 527-7306
Mailing address
200 72ND AVE N APT 207, ST PETERSBURG, FL 33702-5938
(727) 527-7306
(727) 527-7306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TS0200X
School Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
1744G0900X
Graphics Designer
—
—
251300000X
Local Education Agency (LEA)
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
02/12/2008
Last updated
04/29/2008
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