Provider Demographics
NPI:1225403710
Name:LLOYD CLOUD THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:LLOYD CLOUD THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:EZEKIEL
Authorized Official - Last Name:CLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-301-1664
Mailing Address - Street 1:103 TRAFALGAR CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-5785
Mailing Address - Country:US
Mailing Address - Phone:860-301-1664
Mailing Address - Fax:757-890-6204
Practice Address - Street 1:5731 GEORGE WASHINGTON MEM HWY STE 4A
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23692-2685
Practice Address - Country:US
Practice Address - Phone:860-301-1664
Practice Address - Fax:757-890-6204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005725251S00000X
VA0904008979251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health