Organization
ALETHEIA THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MARIE LYDDON LSCSW (OWNER)
(620) 482-0315
Entity
Organization
Contact information
Practice address
1623 POYNTZ AVE, MANHATTAN, KS 66502-4148
(785) 369-9105
(785) 310-2739
Mailing address
1623 POYNTZ AVE, MANHATTAN, KS 66502-4148
(785) 369-9105
(785) 310-2739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201261370B
—
KS
Enumeration date
01/19/2023
Last updated
02/23/2023
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