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

Mrs. Lydia Elyse Shively, ATR-P, LCMHCA

Individual provider Mental Health Counselor · NPI 1174209019

Mrs. Lydia Elyse Shively, ATR-P, LCMHCA is a Mental Health Counselor in Hampstead, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

386 Waldorf Way
Hampstead, NC 28443
Phone: (910) 707-3505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A18504 (NC)

Record details

NPI number1174209019
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATR-P , LCMHCA
Sole proprietorYes
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

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