Keith Lyles, LCDC

NPI 1508103946 · on the registry since 2013 · sole proprietor

Practice

Address: 410 S Main Ave Ste 201
San Antonio, TX 78204
Phone: (210) 822-9493
Fax: (210) 822-8733
Organisation at this address: Deborah Judith Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Professional Counselor
101YP2500X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-01-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas