Lyon, Edward Stephen
Lyon, Edward Stephen is an sole proprietor health care provider with primary practice located at 4315 Ludgate Street , Lumberton NC 28358-2460. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Lyon, Edward Stephen can be contacted via phone (910) 301-9273.Contact Information
Primary practice address
4315 Ludgate Street
Lumberton NC 28358-2460
Phone: (910) 301-9273
Fax: (910) 738-1991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 263 | North Carolina |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | #1429 | North Carolina |
Profile Details
| NPI number | 1710108519 |
|---|---|
| LBN Legal business name | Lyon, Edward Stephen |
| Credentials | CCS, CSAC, CCJP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Dec 22nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710108519 | NPPES |
| North Carolina | MEDICAID | 6110514 | |
| North Carolina | Other | CSAC #1429 | |
| North Carolina | Other | CCS # 263 |
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