Provider Demographics
NPI:1235401365
Name:LLOYD, SELENA DELOACH (RN)
Entity Type:Individual
Prefix:MRS
First Name:SELENA
Middle Name:DELOACH
Last Name:LLOYD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 HWY 31 SOUTH
Mailing Address - Street 2:BALDWIN COUNTY MENTAL HEALTH CENTER, INC
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-1916
Mailing Address - Country:US
Mailing Address - Phone:251-937-9708
Mailing Address - Fax:251-937-9709
Practice Address - Street 1:2411 HWY 31 S
Practice Address - Street 2:BALDWIN COUNTY MENTAL HEALTH CENTER, INC.
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36532
Practice Address - Country:US
Practice Address - Phone:251-937-9708
Practice Address - Fax:251-937-9709
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-127623163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse