Provider Demographics
NPI:1639313596
Name:LLOYD, MARJORIE MOTT (LPC/MHSP)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:MOTT
Last Name:LLOYD
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 W OUTER DR
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-3715
Mailing Address - Country:US
Mailing Address - Phone:865-806-3902
Mailing Address - Fax:865-482-4675
Practice Address - Street 1:502 W OUTER DR
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-3715
Practice Address - Country:US
Practice Address - Phone:865-806-3902
Practice Address - Fax:865-482-4675
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000002062101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health