Provider Demographics
NPI:1407382351
Name:FILAZZOLA, LYDIA (LMFT)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:
Last Name:FILAZZOLA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LYDIA
Other - Middle Name:
Other - Last Name:KUEBLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13200 STRICKLAND RD STE 114-210
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-5212
Mailing Address - Country:US
Mailing Address - Phone:919-694-6021
Mailing Address - Fax:
Practice Address - Street 1:8951 HARVEST OAKS DR STE 205
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2114
Practice Address - Country:US
Practice Address - Phone:919-694-6021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist