person
Ms. Lydia Alpha Mabbitt, LPC
Professional Counselor in Poplar Bluff, Missouri
NPI 1013024454

Lydia Alpha Mabbitt is a Professional Counselor based in Poplar Bluff, MO and is specialized in Professional. Lydia Alpha Mabbitt practices in Poplar Bluff, MO and has the professional credentials of LPC. The NPI Number for Lydia Alpha Mabbitt is 1013024454 and holds a License No. 2000158656 (Missouri).

The current practice location address for Lydia Alpha Mabbitt is 3001 Warrior Ln, Poplar Bluff, MO and can be reached out via phone at 573-686-1200 and via fax at 573-686-1029.

Location: 3001 Warrior Ln, Poplar Bluff, MO, 63902-0280
person
Provider Profile Details
NPI Number
1013024454
Provider Name
Lydia Alpha Mabbitt
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3001 Warrior Ln, Poplar Bluff, MO, 63902-0280
Phone Number
573-686-1200
Fax Number
573-686-1029
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
431116734 01 EAP INTERFACE
431116734 01 EAP WELLPOINT
9877 01 MO FEI BEHAVIORAL
1013024454 01 BLUE CROSS BLUE SHIELD
431116734 01 EAP PEOPLE RESOURCES
2613 01 MO EAP IMPACT
11784624 01 MO CAQH
431116734 01 EAP CERIDIAN
494997521 05 MO
890435 01 MO HEALTHLINK PPO
institution
Provider Business Practice Location Address Details
Address
3001 Warrior Ln
City
State
Zip
63901-8685
Phone Number
573-686-1200
Fax Number
573-686-1029
person
Provider Business Mailing Address Details
Address
3001 Warrior Ln
City
State
Zip
63901-8685
Phone Number
573-686-1200
Fax Number
573-686-1029
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2000158656 (Missouri)
Definition
Definition to come...
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