Mr Ronald D Lyons, LCSW | |
1065 Martin Luther King Dr, Centralia, IL 62801-3001 | |
(618) 545-0770 | |
(618) 545-0754 |
Full Name | Mr Ronald D Lyons |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 18 Years |
Location | 1065 Martin Luther King Dr, Centralia, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1548453384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 149.013219 (Illinois) | Primary |
Entity Name | Lyons Clinical Counseling & Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841482379 PECOS PAC ID: 2264572742 Enrollment ID: O20091214000419 |
Mailing Address | Practice Location Address |
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Mr Ronald D Lyons, LCSW 1065 Martin Luther King Dr, P.o. Box 1241, Centralia, IL 62801-3001 Ph: (618) 545-0770 | Mr Ronald D Lyons, LCSW 1065 Martin Luther King Dr, Centralia, IL 62801-3001 Ph: (618) 545-0770 |
Travis Merrell Trone I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 628 Tracy Ter, Centralia, IL 62801 Phone: 618-533-2579 | |
Andrea Slater, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 | |
Mary Gates-gully, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 | |
Mrs. Lolita Isaiah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 | |
Sydney Cummins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E Martin Luther Kind Drive, Centralia, IL 62801 Phone: 618-335-0973 | |
Steffany Slininger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 | |
Kelsey Dulle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 |