Provider Demographics
NPI:1215983671
Name:LYONS, LISA R (LCSW)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:R
Last Name:LYONS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 MORTON MILL CIR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-6717
Mailing Address - Country:US
Mailing Address - Phone:615-673-2826
Mailing Address - Fax:
Practice Address - Street 1:25 LINDSLEY AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-2038
Practice Address - Country:US
Practice Address - Phone:615-259-9055
Practice Address - Fax:615-259-9056
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical