person
Ms. Lidia Virginia Bly-herman, LPC,LCAS,CCS
Mental Health Counselor in Southport, North Carolina
NPI 1780717488

Lidia Virginia Bly-herman is a Mental Health Counselor based in Southport, NC and is specialized in Mental Health. Lidia Virginia Bly-herman practices in Southport, NC and has the professional credentials of LPC,LCAS,CCS. The NPI Number for Lidia Virginia Bly-herman is 1780717488 and holds a License No. 319 (North Carolina).

The current practice location address for Lidia Virginia Bly-herman is 804 N Howe St, Southport, NC and can be reached out via phone at 910-454-4040 and via fax at 910-454-4043.

Location: 804 N Howe St, Southport, NC, 28461-0723
person
Provider Profile Details
NPI Number
1780717488
Provider Name
Lidia Virginia Bly-herman
Credential
LPC,LCAS,CCS
Provider Entity Type
Individual
Gender
Female
Address
804 N Howe St, Southport, NC, 28461-0723
Phone Number
910-454-4040
Fax Number
910-454-4043
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102201 05 NC
institution
Provider Business Practice Location Address Details
Address
804 N Howe St
City
State
Zip
28461-3462
Phone Number
910-454-4040
Fax Number
910-454-4043
person
Provider Business Mailing Address Details
Address
804 N Howe St
City
State
Zip
28461-3462
Phone Number
910-454-4040
Fax Number
910-454-4043
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3517 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
319 (North Carolina)
Definition
Definition to come...
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