Provider Demographics
NPI:1346398575
Name:LYON COUNSELING ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:LYON COUNSELING ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LYON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:517-332-2275
Mailing Address - Street 1:1451 E LANSING DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-7785
Mailing Address - Country:US
Mailing Address - Phone:517-332-2275
Mailing Address - Fax:
Practice Address - Street 1:1451 E LANSING DR
Practice Address - Street 2:SUITE 215
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-7785
Practice Address - Country:US
Practice Address - Phone:517-332-2275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty