| Doctor Name: | TIMOTHY PATRICK LYONS |
| NPI Number: | 1396019717 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 2002010895 |
| Business Practice Address: | 1851 N Commerce Dr Nixa, MO - 657147603 |
| Business Phone Number: | 4178338300 |
| Business Fax Number: | |
| Mailing Address: | 5431 S Aaron Ave, SPRINGFIELD |
| State: | MO |
| Postal Code: | 658102035 |
| Phone Number: | 4178338300 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2012 |
| NPI Last Update Date: | 03/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2002010895 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |