Burgess, Lya J

Burgess, Lya J is an individual health care provider with primary practice located at 200 North St Suite 101, New Martinsville WV 26155-1784. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burgess, Lya J can be contacted via phone (304) 771-8837.

Contact Information

Primary practice address
200 North St Suite 101 New Martinsville WV 26155-1784
Phone: (304) 771-8837
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1326209644
LBN Legal business name Burgess, Lya J
Credentials MSW/LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated May 7th, 2015 - about 10 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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