Individual
OUIDA LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3655 CANTON RD, SUITE 201, MARIETTA, GA 30066-2690
(678) 903-5197
(678) 903-5198
Mailing address
1423 SARATOGA DR, ALPHARETTA, GA 30022-5970
(256) 652-3824
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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