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General NPI Number Information
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NPI Number | 1285242099
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Entity Type | Organization
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Legal Business Name | LYONS CENTER LLC
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Dates
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Enumeration Date | 07/17/2020
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 524 S HOUSTON LAKE RD BLDG J
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City | WARNER ROBINS
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State | GA
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Zip | 31088-9027
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Country | US
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Telephone | 478-227-0779
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Fax | 470-290-6429
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Provider Business Mailing Address
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Address Line | 524 S HOUSTON LAKE RD STE J100
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City | WARNER ROBINS
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State | GA
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Zip | 31088-9069
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Country | US
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Telephone | 478-227-0779
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Fax | 470-290-6429
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Authorized Official
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Title or Position | OWNER
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Name | MS. BETTINA RAE LYONS
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Credential | LMFT
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Telephone | 478-227-0779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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