Missal, Lydia Jo
Missal, Lydia Jo is an sole proprietor health care provider with primary practice located at 613 N River St Ste 1A , Hailey ID 83333-8438. She recently has 2 registered licenses in different health care specialties including 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. Missal, Lydia Jo can be contacted via phone (406) 546-2025.Contact Information
Primary practice address
613 N River St Ste 1A
Hailey ID 83333-8438
Phone: (406) 546-2025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC-5912 | Idaho |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2407 | Montana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC-5876 | Idaho |
Profile Details
| NPI number | 1083959332 |
|---|---|
| LBN Legal business name | Missal, Lydia Jo |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2012 |
| Last updated | Mar 17th, 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.
Popular Providers
-
Bruce, Paige C
101 2Nd Avenue South , Hailey ID 83333-8551 -
James, Terri Sue
220 2Nd Ave. South , Hailey ID 83333 -
Wade, Connor Joseph
101 Empty Saddle Trl Ste 120 , Hailey ID 83333-8437 -
Albrecht, Mark
100 Golden Eagle Dr S , Hailey ID 83333-5129 -
Isom, Anna
901 Wallace Blvd Bldg 501, Amarillo TX 79106-1705 -
Payne, Janice Webb
416 S Main St Suite B-3, Hailey ID 83333-8440 -
Kammer, Tami S
221 S River St Suite 2B, Hailey ID 83333-8436 -
Galvin, Raquel
12 E Bullion St , Hailey ID 83333