Provider Demographics
NPI:1770259491
Name:LYMAN, EMILY REBECCA (LPC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:REBECCA
Last Name:LYMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 W MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-2551
Mailing Address - Country:US
Mailing Address - Phone:479-595-0333
Mailing Address - Fax:
Practice Address - Street 1:2621 W MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-2551
Practice Address - Country:US
Practice Address - Phone:479-595-0333
Practice Address - Fax:888-816-7916
Is Sole Proprietor?:No
Enumeration Date:2021-08-22
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9236101YM0800X
ARP2401017101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health