Provider Demographics
NPI:1487189676
Name:LOYD, ROMICKA
Entity Type:Individual
Prefix:
First Name:ROMICKA
Middle Name:
Last Name:LOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 HIGHWAY 550
Mailing Address - Street 2:
Mailing Address - City:SPEARSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71277-2336
Mailing Address - Country:US
Mailing Address - Phone:318-368-5200
Mailing Address - Fax:
Practice Address - Street 1:4951 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-6156
Practice Address - Country:US
Practice Address - Phone:318-368-2300
Practice Address - Fax:318-368-7551
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5292101YA0400X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)