Provider Demographics
NPI:1255654885
Name:LYONS, ALDINA (LCSW)
Entity Type:Individual
Prefix:
First Name:ALDINA
Middle Name:
Last Name:LYONS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 LONDON CT
Mailing Address - Street 2:APT 5
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-0278
Mailing Address - Country:US
Mailing Address - Phone:910-770-2576
Mailing Address - Fax:910-920-3178
Practice Address - Street 1:126 LONDON CT
Practice Address - Street 2:APT 5
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-0278
Practice Address - Country:US
Practice Address - Phone:910-770-2576
Practice Address - Fax:910-920-3178
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical