Provider Demographics
NPI:1114766318
Name:LYONS, GABRIELLE BROOKE (LMSW)
Entity type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:BROOKE
Last Name:LYONS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1056 BROAD LEAF CT
Mailing Address - Street 2:
Mailing Address - City:TRAPPE
Mailing Address - State:MD
Mailing Address - Zip Code:21673-1578
Mailing Address - Country:US
Mailing Address - Phone:410-924-3359
Mailing Address - Fax:
Practice Address - Street 1:29466 PINTAIL DR STE 4
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-9324
Practice Address - Country:US
Practice Address - Phone:443-528-5067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty