Haren, Lydia
Haren, Lydia is an individual health care provider with primary practice located at 2900 Evatt Ln Suite 106, Charleston SC 29405-8700. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Haren, Lydia can be contacted via phone (843) 745-5153.Contact Information
Primary practice address
2900 Evatt Ln Suite 106
Charleston SC 29405-8700
Phone: (843) 745-5153
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 20542 | South Carolina |
Profile Details
| NPI number | 1588766844 |
|---|---|
| LBN Legal business name | Haren, Lydia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588766844 | NPPES |
| South Carolina | MEDICAID | 205423 |
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