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General NPI Number Information
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NPI Number | 1821920703
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Entity Type | Organization
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Legal Business Name | LYON RECOVERY THERAPY SERVICES
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 635 N STATE ST STE B
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City | GREENFIELD
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State | IN
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Zip | 46140-3607
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Country | US
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Telephone | 317-437-5104
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Fax |
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Provider Business Mailing Address
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Address Line | 6613 MAYAPPLE DR
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City | PENDLETON
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State | IN
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Zip | 46064-0046
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Country | US
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Telephone | 317-437-5104
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ELIZABETH LYON-DUENAS
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Credential | LCSW
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Telephone | 765-667-2002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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