Organization Name: | TONI LIDDY LLC |
NPI Number: | 1518358506 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTONETTE MARIE LIDDY (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 800 E Locust St Milwaukee |
State: | WI US |
Postal Code: | 532122634 |
Phone Number: | 4144296522 |
Fax Number: | 4145020192 |
NPI Enumeration Date: | 02/11/2015 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 244-125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |