Provider Demographics
NPI:1629504980
Name:LYONS, INNA N (LCSW, LMSW)
Entity type:Individual
Prefix:
First Name:INNA
Middle Name:N
Last Name:LYONS
Suffix:
Gender:F
Credentials:LCSW, LMSW
Other - Prefix:MS
Other - First Name:INNA
Other - Middle Name:N
Other - Last Name:ARTEMOVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CLINICAL SOCIAL WORK
Mailing Address - Street 1:1410 DONELSON PIKE STE B17
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3037
Mailing Address - Country:US
Mailing Address - Phone:719-251-4172
Mailing Address - Fax:
Practice Address - Street 1:1410 DONELSON PIKE STE B17
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3037
Practice Address - Country:US
Practice Address - Phone:615-913-8557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-05
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN92801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical