Healthcare Provider Details

I. General information

NPI: 1275758807
Provider Name (Legal Business Name): LYERLY COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 S MAIN ST
SALISBURY NC
28144-5408
US

IV. Provider business mailing address

523 S MAIN ST
SALISBURY NC
28144-5408
US

V. Phone/Fax

Practice location:
  • Phone: 704-639-9973
  • Fax: 704-639-0869
Mailing address:
  • Phone: 704-639-9973
  • Fax: 704-639-0869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberC005004
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC002244
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberC000802
License Number StateNC

VIII. Authorized Official

Name: MRS. PATRICIA R LYERLY
Title or Position: OWNER AND THERAPIST
Credential: LCSW
Phone: 704-639-9973