| Keith Lyons Counseling Lcsw Pllc | |
|
555 Broadhollow Rd Suite 216 Melville NY 11747-5078 | |
| (516) 730-6124 | |
| (631) 759-2708 |
| Full Name | Keith Lyons Counseling Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 555 Broadhollow Rd, Melville, New York |
| Authorized Official Name and Position | Keith Lyons (MANAGING MEMBER) |
| Authorized Official Contact | 5167306124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Lyons Counseling Lcsw Pllc Po Box 90 Huntington NY 11743-0090 Ph: (516) 730-6124 | Keith Lyons Counseling Lcsw Pllc 555 Broadhollow Rd Suite 216 Melville NY 11747-5078 Ph: (516) 730-6124 |
| NPI Number | 1346597614 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 11/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346597614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R0775006-1 (New York) | Primary |
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