Healthcare Provider Details

I. General information

NPI: 1164868352
Provider Name (Legal Business Name): BRYN A LYON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 LEBANON RD
MURFREESBORO TN
37129-1392
US

IV. Provider business mailing address

3400 LEBANON PIKE TENNESSEE VALLEY HEALTHCARE SYSTEM ALVIN C. YORK CAMPUS
MURFREESBORO TN
37130
US

V. Phone/Fax

Practice location:
  • Phone: 615-225-3757
  • Fax:
Mailing address:
  • Phone: 615-225-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number087844-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: