Provider Demographics
NPI:1013985548
Name:LYONS, ALFRED LEWIS JR (MA LPC LCAS)
Entity Type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:LEWIS
Last Name:LYONS
Suffix:JR
Gender:M
Credentials:MA LPC LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 602373
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2373
Mailing Address - Country:US
Mailing Address - Phone:828-651-6415
Mailing Address - Fax:828-651-6563
Practice Address - Street 1:501 BILTMORE AVE
Practice Address - Street 2:SUITE G276.10
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4601
Practice Address - Country:US
Practice Address - Phone:828-213-4502
Practice Address - Fax:828-213-4540
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4775101YM0800X, 101YM0800X, 101Y00000X
FLMH7572101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health