Lysal Enterprises, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LYSAL ENTERPRISES, INC.

Practice address

7215 Zapata Dr
Jacksonville, FL 32210-4772

Phone

(904) 759-5089

Fax

(904) 573-2610

NPI assigned

Sep 9, 2014

Last updated

Sep 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Chanda L. Moore

Title

Ceo

Phone

(904) 759-5089

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1053712125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 ZAPATA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104772",
            "telephone_number": "904-759-5089",
            "fax_number": "904-573-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 ZAPATA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104772",
            "telephone_number": "904-759-5089",
            "fax_number": "904-573-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSAL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHANDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-759-5089",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivette Lyons
• Jesse Tyler Lyons, MD
• Mead Lyons, DMD
• Naya Margaret Lyons, DPT
• Shenaye Lyons, ARNP
• Lysal Prof. MKTG. & Home Healthcare Mngmt. Group Inc
• Lysandro O. Tapnio DMD PA (Beacon Family Dentistry)
• Lysandro O. Tapnio DMD PA (Beacon Family Dentistry)
• Sydnie Lee Lytle, PA-C
• Megan Lytus, DO

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.