Provider Demographics
NPI:1316968449
Name:EMPLOYEE ASSISTANCE PROGRAM
Entity type:Organization
Organization Name:EMPLOYEE ASSISTANCE PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-891-5571
Mailing Address - Street 1:1068 EAST AVE STE A-1
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1051
Mailing Address - Country:US
Mailing Address - Phone:530-891-1513
Mailing Address - Fax:530-891-6274
Practice Address - Street 1:1068 EAST AVE STE A-1
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1051
Practice Address - Country:US
Practice Address - Phone:530-891-1513
Practice Address - Fax:530-891-6274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS20723101YA0400X
CALCS18165101YM0800X
CAMFC22115101YM0800X
CAMFC4394101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty