Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 74958 | TX |
Y | 101YM0800X | Mental Health Counselor | 74958 | TX |
N | 101YP2500X | Professional Counselor | 74958 | TX |
NPI | 1003307430 |
---|---|
Provider Name | Elizabeth Lyons |
First Address | Rosharon, TX 77583-1116 |
Second Address | Houston, TX 77098-3905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2018 |
Last Update Date | 22/05/2018 |