Provider Demographics
NPI:1972082733
Name:LYONS, MALLORY (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MALLORY
Middle Name:
Last Name:LYONS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 164TH AVE NE STE 200
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-7615
Mailing Address - Country:US
Mailing Address - Phone:425-287-5064
Mailing Address - Fax:
Practice Address - Street 1:8201 164TH AVE NE STE 246
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7604
Practice Address - Country:US
Practice Address - Phone:425-287-5064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-12
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor