| Doctor Name: | LYRIC R. FITZGIBBON |
| NPI Number: | 1083875306 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 7000 |
| Business Practice Address: | 719 Greenway Rd Suite A- Office # 210 Boone, NC - 286073100 |
| Business Phone Number: | 8287682536 |
| Business Fax Number: | 8888847627 |
| Mailing Address: | Po Box 293, VILAS |
| State: | NC |
| Postal Code: | 286920293 |
| Phone Number: | 8287682536 |
| Fax Number: | 8888847627 |
| NPI Enumeration Date: | 06/19/2008 |
| NPI Last Update Date: | 11/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |