Provider Demographics
NPI:1174832356
Name:LYONS, ROBERT D III (MA, LPC,LCSOTP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:LYONS
Suffix:III
Gender:M
Credentials:MA, LPC,LCSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HOLLOW TREE LN APT 11308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1742
Mailing Address - Country:US
Mailing Address - Phone:281-979-5920
Mailing Address - Fax:
Practice Address - Street 1:101 HOLLOW TREE LN APT 11308
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1742
Practice Address - Country:US
Practice Address - Phone:281-979-5920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional