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Organization
LYON HALL SERVICES, LLC
Active
Organization
LYON HALL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY LYON HALL LCPC (OWNER)
(773) 888-2016
Entity
Organization
Contact information
Practice address
3411 W DIVERSEY AVE STE 5-6, CHICAGO, IL 60647-1245
(773) 888-2016
Mailing address
3411 W DIVERSEY AVE STE 5-6, CHICAGO, IL 60647-1245
(773) 888-2016
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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