Provider Demographics
NPI:1255059267
Name:LYONS, ZEBADIAH CHARLES (LPC)
Entity type:Individual
Prefix:
First Name:ZEBADIAH
Middle Name:CHARLES
Last Name:LYONS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 CHEROKEE TRCE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75751-3104
Mailing Address - Country:US
Mailing Address - Phone:405-464-0821
Mailing Address - Fax:
Practice Address - Street 1:5151 FM 2495
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75752-5762
Practice Address - Country:US
Practice Address - Phone:903-675-4008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
TX87821101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral