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Contact Information

LYDIA E SHIVELY, ATR-P, LCMHCA
386 WALDORF WAY
HAMPSTEAD, NC28443
 Phone: 910-707-3505
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LYDIA E SHIVELY · (Female)

NPI Number 1174209019
Status Active
Credentials ATR-P, LCMHCA
Entity Individual
Enumeration date 06/26/2023
Last updated 06/26/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # A18504
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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