Provider Demographics
NPI:1316199318
Name:RELYON LLC
Entity Type:Organization
Organization Name:RELYON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VOCATIONAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:LYON
Authorized Official - Suffix:
Authorized Official - Credentials:MA;LPC
Authorized Official - Phone:214-335-4682
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:OK
Mailing Address - Zip Code:73030-0356
Mailing Address - Country:US
Mailing Address - Phone:214-335-4682
Mailing Address - Fax:
Practice Address - Street 1:5349 BOB DR
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-5965
Practice Address - Country:US
Practice Address - Phone:214-335-4682
Practice Address - Fax:281-966-1791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11850171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty