Provider Demographics
NPI:1578985982
Name:LYONS, PATRICIA (LMFT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:LYONS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3458 RIVER HEIGHTS XING SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-4501
Mailing Address - Country:US
Mailing Address - Phone:678-464-3941
Mailing Address - Fax:404-292-3848
Practice Address - Street 1:3458 RIVER HEIGHTS XING SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-4501
Practice Address - Country:US
Practice Address - Phone:678-464-3941
Practice Address - Fax:404-292-3848
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001283106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist