Provider Demographics
NPI:1568347508
Name:MADDY, LYRA (LCMHCA)
Entity type:Individual
Prefix:
First Name:LYRA
Middle Name:
Last Name:MADDY
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 DELLWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-4201
Mailing Address - Country:US
Mailing Address - Phone:828-423-6588
Mailing Address - Fax:
Practice Address - Street 1:60 LIVINGSTON ST STE 300
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4400
Practice Address - Country:US
Practice Address - Phone:828-653-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health