Provider Demographics
NPI:1508102575
Name:LYLES, CYLEST (AMFT)
Entity Type:Individual
Prefix:
First Name:CYLEST
Middle Name:
Last Name:LYLES
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5388 VICENZA LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-0275
Mailing Address - Country:US
Mailing Address - Phone:323-336-1740
Mailing Address - Fax:
Practice Address - Street 1:5388 VICENZA LN
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-0275
Practice Address - Country:US
Practice Address - Phone:323-336-1740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist