MR. EDWARD STEPHEN LYON CCS CSAC CCJP NPI 1710108519

NPI Information

NPI: 1710108519
Provider Name: MR. EDWARD STEPHEN LYON, CCS, CSAC, CCJP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4315 LUDGATE STREET
LUMBERTON, NC
ZIP 28358
Phone: (910) 301-9273
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MR. Edward Stephen Lyon, CCS, CSAC, CCJP is an addiction (substance use disorder) counselor in Lumberton, NC. MR. Edward Stephen Lyon, CCS, CSAC, CCJP NPI is 1710108519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4315 LUDGATE STREET
LUMBERTON, NC
ZIP 28358-460
Phone: (910) 301-9273
Fax: (910) 738-1991

The enumeration date for this NPI number is 5/1/2007 and was last updated on 12/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		#1429	NORTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	263	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6110514	MEDICAID	NORTH CAROLINA
2	CCS # 263	OTHER	NORTH CAROLINA	NCSAPPB NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
3	CSAC #1429	OTHER	NORTH CAROLINA	NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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