Individual
MR. BRENT LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13356 48TH CT N, ROYAL PALM BEACH, FL 33411-8135
(561) 676-1753
Mailing address
13356 48TH CT N, ROYAL PALM BEACH, FL 33411-8135
(561) 676-1573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH21238
FL
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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