Provider Demographics
NPI:1548017940
Name:LYONS, LAILA S (LPC-MHC)
Entity type:Individual
Prefix:
First Name:LAILA
Middle Name:S
Last Name:LYONS
Suffix:
Gender:F
Credentials:LPC-MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 MORGAN FARMS WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1422
Mailing Address - Country:US
Mailing Address - Phone:615-955-4019
Mailing Address - Fax:
Practice Address - Street 1:1814 MORGAN FARMS WAY
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1422
Practice Address - Country:US
Practice Address - Phone:615-955-4019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor