Lyons, Justin Harrison

Lyons, Justin Harrison is an individual health care provider with primary practice located at 320 Sw Ramsey Ave , Grants Pass OR 97527-5529. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Lyons, Justin Harrison can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
320 Sw Ramsey Ave Grants Pass OR 97527-5529
Phone: (541) 476-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 25-11-20660 Oregon
Other Service Providers / Peer Specialist 175T00000X 26-CRM-II-0658 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 26-QMHA-II-000648 Oregon

Profile Details

NPI number 1235810672
LBN Legal business name Lyons, Justin Harrison
Credentials CADCII QMHAII CRMII
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2023
Last updated Sep 3rd, 2026 - about last month

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235810672 NPPES
Oregon MEDICAID 500835867
Oregon MEDICAID 500835861

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