Healthcare Provider Details

I. General information

NPI: 1508785254
Provider Name (Legal Business Name): LYRA MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

963 38 1/2 AVE W
WEST FARGO ND
58078-8148
US

IV. Provider business mailing address

963 38 1/2 AVE W
WEST FARGO ND
58078-8148
US

V. Phone/Fax

Practice location:
  • Phone: 330-360-5145
  • Fax:
Mailing address:
  • Phone:
  • 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: ALYSSA SKIPLE
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 330-360-5145