Provider Demographics
NPI:1962680132
Name:LYONS, PAUL JOSEPH (MED LMHC/LMFT)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:JOSEPH
Last Name:LYONS
Suffix:
Gender:M
Credentials:MED LMHC/LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:50 RIVER RD.
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-0222
Mailing Address - Country:US
Mailing Address - Phone:413-221-8889
Mailing Address - Fax:413-584-7833
Practice Address - Street 1:320 RIVERSIDE DR
Practice Address - Street 2:C/O FRIENDS OF CHILDREN
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01062-2717
Practice Address - Country:US
Practice Address - Phone:413-221-8889
Practice Address - Fax:413-584-7833
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-09
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA776106H00000X
MA3248101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist