Lyle Professional Consulting, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

787 Issued in VA

Legal business name

LYLE PROFESSIONAL CONSULTING, LLC

Practice address

611 Moorefield Park Dr
Suite C
North Chesterfield, VA 23236-3667

Phone

(804) 745-2660

Fax

(804) 745-2644

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sheena Althea Lyle, L.C.S.W.

Title

Ceo and Program Director

Phone

(804) 745-2660

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1427105261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MOOREFIELD PARK DR STE C",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363667",
            "telephone_number": "804-745-2660",
            "fax_number": "804-745-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MOOREFIELD PARK DR",
            "address_2": "SUITE C",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363667",
            "telephone_number": "804-745-2660",
            "fax_number": "804-745-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE PROFESSIONAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_middle_name": "ALTHEA",
        "authorized_official_title_or_position": "CEO AND PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-745-2660",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010298482",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.