Bird, Lydia Anna

Bird, Lydia Anna is an individual health care provider with primary practice located at 379 W Katmai Ave , Soldotna AK 99669-7315. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bird, Lydia Anna can be contacted via phone (907) 953-9655.

Contact Information

Primary practice address
379 W Katmai Ave Soldotna AK 99669-7315
Phone: (907) 953-9655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 109622 Alaska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 109622 Alaska
Behavioral Health & Social Service Providers / Professional 101YP2500X 109622 Alaska

Profile Details

NPI number 1477082410
LBN Legal business name Bird, Lydia Anna
Credentials LPC, MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2017
Last updated Nov 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477082410 NPPES
Alaska Other 109622 LICENSED PROFESSIONAL COUNSELOR

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