Provider Demographics
NPI:1558011353
Name:GUYANT, LYDIA MARIA (LPC)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:MARIA
Last Name:GUYANT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7155 SPOTSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20187-4434
Mailing Address - Country:US
Mailing Address - Phone:540-272-1637
Mailing Address - Fax:
Practice Address - Street 1:7155 SPOTSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20187-4434
Practice Address - Country:US
Practice Address - Phone:540-272-1637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011333101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701011333OtherLPC LICENSE