Provider Demographics
NPI:1891157434
Name:LYONS, JOYCE (PHD, LPC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:LYONS
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 F ST
Mailing Address - Street 2:P.O. DRAWER B
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-1930
Mailing Address - Country:US
Mailing Address - Phone:208-799-4449
Mailing Address - Fax:208-799-5171
Practice Address - Street 1:1118 F ST
Practice Address - Street 2:P.O. DRAWER B
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-1930
Practice Address - Country:US
Practice Address - Phone:208-799-4449
Practice Address - Fax:208-799-5171
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC - 1036101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional