Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lydia Home Association

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1962123901

Lydia Home Association is a Mental Health Clinic/Center (Including Community Mental Health Center) in Evanston, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
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Practice location Address checks out

1101 Washington St
Evanston, IL 60202-1619
Phone: (847) 424-2450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1962123901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Clutter — Director Of Finance · (847) 651-7195
NPI enumeratedSeptember 8, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address4300 W Irving Park Rd, Chicago, IL 60641-2825

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