Provider Demographics
NPI:1821164518
Name:LENNIHAN, LYDIA SAYRE (LPCC)
Entity Type:Individual
Prefix:MS
First Name:LYDIA
Middle Name:SAYRE
Last Name:LENNIHAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:LYDIA
Other - Middle Name:SAYRE
Other - Last Name:LENNIHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC
Mailing Address - Street 1:424 BRYN MAWR DR SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2206
Mailing Address - Country:US
Mailing Address - Phone:505-242-3050
Mailing Address - Fax:505-256-5171
Practice Address - Street 1:2201 BUENA VISTA DR SE STE 313
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4291
Practice Address - Country:US
Practice Address - Phone:505-681-0708
Practice Address - Fax:505-256-5171
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM93501101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM65873874Medicaid