Provider Demographics
NPI:1700209319
Name:LLOYD, TANYA (LCPC)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:LLOYD
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6411 ORCHARD AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4712
Mailing Address - Country:US
Mailing Address - Phone:301-246-2084
Mailing Address - Fax:
Practice Address - Street 1:6411 ORCHARD AVE STE 207
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4712
Practice Address - Country:US
Practice Address - Phone:301-246-2084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional