| Cyndie Lyon, L.c.s.w. | |
|
2303 W Beacon Circle Dr Rogers AR 72758-6433 | |
| (479) 957-8464 | |
| (479) 936-8196 |
| Full Name | Cyndie Lyon, L.c.s.w. |
|---|---|
| Speciality | Social Worker |
| Location | 2303 W Beacon Circle Dr, Rogers, Arkansas |
| Authorized Official Name and Position | Cyndie Lue Lyon (OWNER) |
| Authorized Official Contact | 4799578464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cyndie Lyon, L.c.s.w. 2303 W Beacon Circle Dr Rogers AR 72758-6433 Ph: (479) 957-8464 | Cyndie Lyon, L.c.s.w. 2303 W Beacon Circle Dr Rogers AR 72758-6433 Ph: (479) 957-8464 |
| NPI Number | 1548653843 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 04/30/2015 |
| Medicare PECOS PAC ID | 2668791260 |
|---|---|
| Medicare Enrollment ID | O20150504000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548653843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-977 (Arkansas) | Primary |
| Provider Name | Wanda L Rodinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720112725 PECOS PAC ID: 8426120973 Enrollment ID: I20080628000164 |
| Provider Name | Cyndie L Lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518306158 PECOS PAC ID: 7517197239 Enrollment ID: I20140225001743 |
| Provider Name | Catherine Dimakatso Kabasia-sello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487934766 PECOS PAC ID: 1153757489 Enrollment ID: I20200205001992 |
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