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General NPI Number Information
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NPI Number | 1588801641
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Entity Type | Individual
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Provider Name | STACY ANN LYONS PMHNP-BC, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 8383 WILSHIRE BLVD STE 602
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2425
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Country | US
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Telephone | 800-955-0167
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Fax | 800-452-1686
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Provider Business Mailing Address
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Address Line | 222 PEVELY FARMS DR
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City | EUREKA
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State | MO
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Zip | 63025-1618
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95023711
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-17363
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN215578
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP8866
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License Number State | AZ
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