Provider Demographics
NPI:1801302278
Name:LYONS, PATRICIA DEE (LCSW, CEAP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DEE
Last Name:LYONS
Suffix:
Gender:F
Credentials:LCSW, CEAP
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:
Other - Last Name:LYONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, CEAP
Mailing Address - Street 1:4035 DUNHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-3737
Mailing Address - Country:US
Mailing Address - Phone:214-679-0423
Mailing Address - Fax:
Practice Address - Street 1:4035 DUNHAVEN RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-3737
Practice Address - Country:US
Practice Address - Phone:214-679-0423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical