MEDICARE: MARY HELEN LYLE-JOINER LPC-MHSP

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	101YP2500X	Professional Counselor	LPC0000002797	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710243308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY HELEN LYLE-JOINER LPC-MHSP

Provider Business Mailing Address
First Line	:	PO BOX 25
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-0025
Country	:	US
Telephone Number	:	865-607-1648
Fax Number	:	865-225-9687

Provider Business Practice Location Address
First Line	:	481 LEEPER PKWY
Second Line	:	SUITE 6
City	:	LENOIR CITY
State	:	TN
Zip	:	37772-6174
Country	:	US
Telephone Number	:	865-607-1648
Fax Number	:	865-225-9687

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

Provider Enumeration Date	:	04/09/2012
Last Update Date	:	02/11/2021

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