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NPI Code Detail

MEDICARE: AUDREY ABELL LYDA LPC

MEDICARE:   AUDREY ABELL LYDA  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor79916TX

General Provider Information

NPI Number : 1831871524
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY ABELL LYDA LPC
Provider Business Mailing Address
First Line : 5236 COLUMBIA DR
Second Line :
City : SCHERTZ
State : TX
Zip : 78108-2368
Country : US
Telephone Number : 979-942-6250
Fax Number :
Provider Business Practice Location Address
First Line : 1996 SCHERTZ PKWY STE 402
Second Line :
City : SCHERTZ
State : TX
Zip : 78154-1680
Country : US
Telephone Number : 210-236-1131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2023
Last Update Date : 06/15/2026

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Directions to “ AUDREY ABELL LYDA LPC” Practice Location

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