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Organization

LYLE PROFESSIONAL CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHEENA ALTHEA LYLE L.C.S.W. (CEO AND PROGRAM DIRECTOR)
(804) 745-2660
Entity
Organization

Contact information

Practice address
611 MOOREFIELD PARK DR, SUITE C, NORTH CHESTERFIELD, VA 23236-3667
(804) 745-2660
(804) 745-2644
Mailing address
611 MOOREFIELD PARK DR STE C, NORTH CHESTERFIELD, VA 23236-3667
(804) 745-2660
(804) 745-2644

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
787
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010298482
VA
Enumeration date
01/04/2007
Last updated
12/14/2011
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