The Willows Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C20120612-2476 Issued in NV

Legal business name

THE WILLOWS COUNSELING SERVICES

Practice address

8665 W Flamingo Rd
Ste 2000
Las Vegas, NV 89147-8621

Phone

(702) 735-9755

Fax

(702) 367-9089

NPI assigned

Jun 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence J Lyon, PHDNPI 1629161443

Title

Director

Phone

(702) 735-9755

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence J Lyon, PHD

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1629161443
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1013279959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 SHIRLEY LN",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890053627",
            "telephone_number": "702-735-9755",
            "fax_number": "702-367-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 W FLAMINGO RD",
            "address_2": "STE 2000",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478621",
            "telephone_number": "702-735-9755",
            "fax_number": "702-367-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLOWS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-735-9755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "C20120612-2476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629161443",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.