Individual
MRS. LIDIA LYNETTE DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
706 N POLK ST, AMARILLO, TX 79107-5248
(806) 803-9640
(877) 339-0645
Mailing address
PO BOX 33046, AMARILLO, TX 79120-3046
(806) 471-3249
(877) 339-0645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10674
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
3883-4817
TX
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
3883-4817
TX
324500000X
Substance Abuse Rehabilitation Facility
3883-4817
TX
3245S0500X
Children's Substance Abuse Rehabilitation Facility
3883-4817
TX
Other
Enumeration date
07/11/2015
Last updated
09/25/2024
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