Healthcare Provider Details

I. General information

NPI: 1942140306
Provider Name (Legal Business Name): CHRISTY LYONS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 GROSVENOR ST
ATHENS OH
45701-1716
US

IV. Provider business mailing address

144 GROSVENOR ST
ATHENS OH
45701-1716
US

V. Phone/Fax

Practice location:
  • Phone: 401-559-2860
  • Fax:
Mailing address:
  • Phone: 401-559-2860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2404467
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9723
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: