Healthcare Provider Details

I. General information

NPI: 1821920703
Provider Name (Legal Business Name): LYON RECOVERY THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 N STATE ST STE B
GREENFIELD IN
46140-3607
US

IV. Provider business mailing address

6613 MAYAPPLE DR
PENDLETON IN
46064-0046
US

V. Phone/Fax

Practice location:
  • Phone: 765-667-2002
  • Fax:
Mailing address:
  • Phone: 765-667-2002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH LYON-DUENAS
Title or Position: MEMBER
Credential: LCSW
Phone: 765-667-2002