| Mr Edward Stephen Lyon, CCS, CSAC, CCJP | |
|
4315 Ludgate Street, Lumberton, NC 28358-2460 | |
| (910) 301-9273 | |
| (910) 738-1991 |
| Full Name | Mr Edward Stephen Lyon |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4315 Ludgate Street, Lumberton, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710108519 | NPI | - | NPPES |
| 6110514 | Medicaid | NC | |
| CSAC #1429 | Other | NC | NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD |
| CCS # 263 | Other | NC | NCSAPPB NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 263 (North Carolina) | Primary |
| 103K00000X | Behavior Analyst | #1429 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Stephen Lyon, CCS, CSAC, CCJP 725 Byrd Road, Selma, NC 27576-9077 Ph: (910) 301-9273 | Mr Edward Stephen Lyon, CCS, CSAC, CCJP 4315 Ludgate Street, Lumberton, NC 28358-2460 Ph: (910) 301-9273 |
Samantha Tyler Moore, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Godwin Ave Ste C, Lumberton, NC 28358 Phone: 910-240-2939 | |
Carl Brent Locklear, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2105b E Elizabethtown Rd, Lumberton, NC 28358 Phone: 910-738-7865 | |
Miss Gwen Hammonds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2883 Deep Branch Rd, Lumberton, NC 28360 Phone: 910-608-2311 | |
Mrs. Helena Frances Stephens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2551 Lovette Rd, Lumberton, NC 28358 Phone: 910-272-8435 Fax: 910-272-8435 | |
Mr. Larry Pittman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4303 Cricklewood St, Lumberton, NC 28358 Phone: 910-738-1208 | |
Ms. Tonya Lynn Locklear, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 E 7th St, Lumberton, NC 28358 Phone: 910-735-0556 Fax: 910-735-0557 | |
Shelli Nobles, LPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Godwin Ave, Suite A, Lumberton, NC 28358 Phone: 910-739-8849 Fax: 910-739-5167 |