Provider Demographics
NPI:1033966627
Name:LYONS, LINDSEY ANN (PLADC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANN
Last Name:LYONS
Suffix:
Gender:F
Credentials:PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 OSBORNE DR E
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-2633
Mailing Address - Country:US
Mailing Address - Phone:402-462-2066
Mailing Address - Fax:
Practice Address - Street 1:2205 OSBORNE DR E
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-2633
Practice Address - Country:US
Practice Address - Phone:402-462-2066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-2152101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)