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Dr. Noah Lyles Phd Mft, PHDMFT
Professional Counselor in Clayton, Missouri
NPI 1912485657

Noah Lyles Phd Mft is a Professional Counselor based in Clayton, MO and is specialized in Professional. Noah Lyles Phd Mft practices in Clayton, MO and has the professional credentials of PHDMFT. The NPI Number for Noah Lyles Phd Mft is 1912485657 and holds a License No. 2009000351 (Missouri).

The current practice location address for Noah Lyles Phd Mft is 8112 Maryland Ave, Clayton, MO and can be reached out via phone at 314-474-9475.

Location: 8112 Maryland Ave, Clayton, MO, 63105-3729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912485657
Provider Name
Noah Lyles Phd Mft
Credential
PHDMFT
Provider Entity Type
Individual
Gender
Male
Address
8112 Maryland Ave, Clayton, MO, 63105-3729
Phone Number
314-474-9475
Fax Number
Provider Enumeration Date
08/03/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85-2660293 01 MO MEDICAL BILLING
85-2660293 05 MO
831317927 05 TN
institution
Provider Business Practice Location Address Details
Address
8112 Maryland Ave
City
Clayton
State
Missouri
Zip
63105-3729
Phone Number
314-474-9475
Fax Number
person
Provider Business Mailing Address Details
Address
8112 Maryland Ave
City
Clayton
State
Missouri
Zip
63105-3729
Phone Number
314-474-9475
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
0089565 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2009000351 (Missouri)
Definition
Definition to come...
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