Healthcare Provider Details

I. General information

NPI: 1952753261
Provider Name (Legal Business Name): DR. GREGORY LEE LYONS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9151 KENWOOD COURT
HIGHLANDS RANCH NV
89120-1961
US

IV. Provider business mailing address

9151 KENWOOD CT
HIGHLANDS RANCH CO
80126-3421
US

V. Phone/Fax

Practice location:
  • Phone: 702-429-0834
  • Fax:
Mailing address:
  • Phone: 24-290-8347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0021788
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14241167-6004
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCP5893
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: