| Lyon Counseling Llc | |
|
661 Seminola Blvd Casselberry FL 32707-3057 | |
| (321) 430-5966 | |
| Not Available |
| Full Name | Lyon Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 661 Seminola Blvd, Casselberry, Florida |
| Authorized Official Name and Position | Jesse Lyon (OWNER) |
| Authorized Official Contact | 3214305966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyon Counseling Llc 661 Seminola Blvd Casselberry FL 32707-3057 Ph: (321) 430-5966 | Lyon Counseling Llc 661 Seminola Blvd Casselberry FL 32707-3057 Ph: (321) 430-5966 |
| NPI Number | 1073092722 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 03/18/2020 |
| Certification Date | 03/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073092722 | NPI | - | NPPES |
| 1015506-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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