Provider Demographics
NPI:1649159872
Name:HEATHER Z. LYONS, LICENSED PSYCHOLOGIST, LLC
Entity type:Organization
Organization Name:HEATHER Z. LYONS, LICENSED PSYCHOLOGIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-451-5122
Mailing Address - Street 1:1122 KENILWORTH DR
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2139
Mailing Address - Country:US
Mailing Address - Phone:443-451-5122
Mailing Address - Fax:
Practice Address - Street 1:9 WHIPPLE ST UNIT 10
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-5384
Practice Address - Country:US
Practice Address - Phone:401-426-2406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEE ABOVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-01
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty