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NPI Code Detail

MEDICARE: MITCHELL LOUIS LYON LPC

MEDICARE: MITCHELL LOUIS LYON LPC
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
1101YP2500XProfessional Counselor4143OK
2101Y00000XCounselor4143OK

General Provider Information

NPI Number : 1750618583
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL LOUIS LYON LPC
Provider Business Mailing Address
First Line : 231 S 30TH ST
Second Line :
City : ENID
State : OK
Zip : 73701-6455
Country : US
Telephone Number : 580-596-2800
Fax Number : 580-596-2805
Provider Business Practice Location Address
First Line : 231 S 30TH ST
Second Line :
City : ENID
State : OK
Zip : 73701-6455
Country : US
Telephone Number : 580-215-7555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2009
Last Update Date : 02/25/2025

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Directions to “ MITCHELL LOUIS LYON LPC” Practice Location

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