Provider Demographics
NPI:1598004327
Name:LLOYD, JAMIE NICHOLE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:NICHOLE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:NICHOLE
Other - Last Name:LLOYD ALTREE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:P.O. BOX 563
Mailing Address - Street 2:
Mailing Address - City:OAKRIDGE
Mailing Address - State:OR
Mailing Address - Zip Code:97463
Mailing Address - Country:US
Mailing Address - Phone:541-520-5121
Mailing Address - Fax:
Practice Address - Street 1:48134 HIGHWAY 58
Practice Address - Street 2:
Practice Address - City:OAKRIDGE
Practice Address - State:OR
Practice Address - Zip Code:97463-9601
Practice Address - Country:US
Practice Address - Phone:541-520-5121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4089101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional