MEDICARE: KIRSTEN LYONS LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	114958	TX

General Provider Information

NPI Number	:	1508666207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN LYONS LMSW

Provider Business Mailing Address
First Line	:	20906 TRENTON VALLEY LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-0016
Country	:	US
Telephone Number	:	713-398-3869
Fax Number	:

Provider Business Practice Location Address
First Line	:	9896 BISSONNET ST STE 510
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8156
Country	:	US
Telephone Number	:	832-570-3506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2025
Last Update Date	:	03/13/2025

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