DR. NOAH LYLES PHD MFT PHD MFT NPI 1912485657

NPI Information

NPI: 1912485657
Provider Name: DR. NOAH LYLES PHD MFT, PHD MFT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
8112 MARYLAND AVE
CLAYTON, MO
ZIP 63105
Phone: (314) 474-9475
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DR. Noah Lyles Phd Mft, PHD MFT is a professional counselor in Clayton, MO. DR. Noah Lyles Phd Mft, PHD MFT NPI is 1912485657. 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:

8112 MARYLAND AVE
CLAYTON, MO
ZIP 63105-729
Phone: (314) 474-9475

The enumeration date for this NPI number is 8/3/2018 and was last updated on 11/23/2021.

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	101YP1600X	Counselor	Pastoral	2009000351	MISSOURI	No
2	101YP1600X	Counselor	Pastoral	0089565	TENNESSEE	No
3	101YP2500X	Counselor	Professional	0089565	TENNESSEE	No
4	101YP2500X	Counselor	Professional	2009000351	MISSOURI	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	831317927	MEDICAID	TENNESSEE
2	85-2660293	MEDICAID	MISSOURI
3	85-2660293	OTHER	MISSOURI	MEDICAL BILLING

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: 4/28/2024

NPI Synchronization or Removal

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