Healthcare Provider Details

I. General information

NPI: 1083496905
Provider Name (Legal Business Name): LYRIC COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 RIDGE DR
CRAIG CO
81625-9652
US

IV. Provider business mailing address

54 RIDGE DR
CRAIG CO
81625-9652
US

V. Phone/Fax

Practice location:
  • Phone: 970-620-8250
  • Fax:
Mailing address:
  • Phone: 970-620-8250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LYRIC ELLEN WOOD
Title or Position: OWNER
Credential: LCSW
Phone: 970-620-8250