Individual
STACY ANN LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, LPC
Contact information
Practice address
8383 WILSHIRE BLVD STE 602, BEVERLY HILLS, CA 90211-2425
(800) 955-0167
(800) 452-1686
Mailing address
222 PEVELY FARMS DR, EUREKA, MO 63025-1618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-17363
AZ
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN215578
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP8866
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95023711
CA
Other
Enumeration date
01/12/2009
Last updated
12/08/2025
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