Lydia Home Association

LBN: Lydia Home Association
Lydia Home Association is an health care organization with primary practice located at 4300 W Irving Park Rd #B Counseling Center, Chicago IL 60641-2825. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Lydia Home Association can be contacted via phone (773) 736-1447, or through Anderson, David K. via phone (773) 736-1447.

Contact Information

Primary practice address
4300 W Irving Park Rd #B Counseling Center Chicago IL 60641-2825
Phone: (773) 736-1447
Fax: (773) 736-6970
Website:
Map and Directions
Authorized official contact:
Name: Anderson, David K. PSY D
Phone: (773) 736-1447

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois
Behavioral Health & Social Service Providers / Counseling 103TC1900X Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Illinois
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1316904956
LBN Legal business name Lydia Home Association
DBA Doing business as
Authorized official Anderson, David K. PSY D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Feb 25th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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