Healthcare Provider Details

I. General information

NPI: 1386358919
Provider Name (Legal Business Name): ALLEE LYONS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 S HICO ST STE 107
SILOAM SPRINGS AR
72761-3740
US

IV. Provider business mailing address

1700 ACE AVE
GENTRY AR
72734-8038
US

V. Phone/Fax

Practice location:
  • Phone: 918-843-2315
  • Fax:
Mailing address:
  • Phone: 479-402-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number203471
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: