MR. GORDON WESLEY LYDE (NPI# 1346873767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346873767 |
| Entity Type | Individual |
| Full Name | MR. GORDON WESLEY LYDE |
| Credential | CAC, CADC |
| Practice Address |
76 Jackson St Torrington CT 06790-6202 |
| Practice Telephone | 8604918511 |
| Mailing Telephone | 8604918511 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 096272748 | 05 |
| Street Address |
76 JACKSON ST |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
| 1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
| 1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
| 1831570803 | Valerie Lange | Counselor | 326 Albany Turnpike, Canton, CT 06790 | 2015-06-15 |
| 1992120646 | Fitness Pantheon, LLC | Clinic/Center | 221 Water Street, Torrington, CT 06790 | 2014-03-04 |
| Find all providers in zip 06790 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901005 | A Better Day Counseling Center LLC | Counselor | 403 New Litchfield St, Torrington, CT 06790-6640 | 2020-04-16 |
| 1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
| 1932668589 | Eric Matthew Anderson | Counselor | 1229 Winsted Rd Unit 95, Torrington, CT 06790-2951 | 2019-03-13 |
| 1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
| 1023536463 | Ebony N Wilson | Counselor | 185 E. Elm St, #2057, Torrington, CT 06790-3726 | 2017-09-06 |
| 1295191195 | Key Community Care, Inc. | Counselor | 33 Prospect St., Torrington, CT 06790-6329 | 2016-01-07 |
| 1104182336 | Kimberly Dawn Huckfeldt-mundt | Counselor | 2802 W C St, Torrington, WY 82240-1834 | 2012-04-02 |
| 1609147404 | Richard Dable | Counselor | 30 Peck Rd Ste 2104, Torrington, CT 06790-6123 | 2012-01-25 |
| 1518282854 | Cheryl L. Menard Consulting LLC | Counselor | 222 Prospect Street, Torrington, CT 06790 | 2010-03-30 |
| 1225263130 | Caterina Kelley | Counselor | 30 Peck Rd Ste 2203, Torrington Clinical Services, Torrington, CT 06790-6123 | 2009-05-20 |
| Find all providers in TORRINGTON | ||||
| City | TORRINGTON |
| Zip Code | 06790 |
Please comment or provide details below to improve the information on MR. GORDON WESLEY LYDE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.