Provider Demographics
NPI:1104219021
Name:CHAPPELLE-LYONS, PAMELEA H (MED LPC-S, CPC, CCT)
Entity Type:Individual
Prefix:MRS
First Name:PAMELEA
Middle Name:H
Last Name:CHAPPELLE-LYONS
Suffix:
Gender:F
Credentials:MED LPC-S, CPC, CCT
Other - Prefix:MRS
Other - First Name:PAM
Other - Middle Name:H
Other - Last Name:CHAPPELLE-LYONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED, LPC-S,CCTP
Mailing Address - Street 1:5700 TENNYSON PKWY STE OFFICE96
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3583
Mailing Address - Country:US
Mailing Address - Phone:972-918-5245
Mailing Address - Fax:
Practice Address - Street 1:5700 TENNYSON PKWY STE OFFICE96
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3583
Practice Address - Country:US
Practice Address - Phone:972-918-5245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69833101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor