Provider Demographics
NPI:1306729124
Name:LYONS, GABRIELLE MADELINE (LMHC)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:MADELINE
Last Name:LYONS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 DOMINO DR STE 1
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2802
Mailing Address - Country:US
Mailing Address - Phone:717-676-3251
Mailing Address - Fax:
Practice Address - Street 1:30 DOMINO DR STE 1
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2802
Practice Address - Country:US
Practice Address - Phone:978-219-4948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10004747101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health