Individual
CARLY W LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4835 WATERLICK RD STE A-C, FOREST, VA 24551-1696
(434) 435-0693
Mailing address
4835 WATERLICK RD STE A-C, FOREST, VA 24551-1696
(434) 435-0693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016633
VA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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