| Micayla B Lyons Llc | |
|
309 Putnam St Ste B Marietta OH 45750-3037 | |
| (740) 400-0213 | |
| Not Available |
| Full Name | Micayla B Lyons Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 309 Putnam St Ste B, Marietta, Ohio |
| Authorized Official Name and Position | Micayla Lyons (OWNER) |
| Authorized Official Contact | 7405252001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micayla B Lyons Llc 309 Putnam St Ste B Marietta OH 45750-3037 Ph: (740) 400-0213 | Micayla B Lyons Llc 309 Putnam St Ste B Marietta OH 45750-3037 Ph: (740) 400-0213 |
| NPI Number | 1174395834 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174395834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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