Willingham, Lydia

Willingham, Lydia is an sole proprietor health care provider with primary practice located at 1119 3Rd Ave , Conway SC 29526-5135. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Willingham, Lydia can be contacted via phone (803) 394-7850.

Contact Information

Primary practice address
1119 3Rd Ave Conway SC 29526-5135
Phone: (803) 394-7850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1770608598
LBN Legal business name Willingham, Lydia
Credentials L.P.C. - M.H.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Apr 12th, 2012 - about 12 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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