Provider Demographics
NPI:1902231947
Name:LLOYD, AMY CHLEBEK (MS, LPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:CHLEBEK
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 CUMBERLAND PKWY SE
Mailing Address - Street 2:BUILDING 500, SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-4515
Mailing Address - Country:US
Mailing Address - Phone:404-661-2448
Mailing Address - Fax:
Practice Address - Street 1:2255 CUMBERLAND PKWY SE
Practice Address - Street 2:BUILDING 500, SUITE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-4515
Practice Address - Country:US
Practice Address - Phone:404-661-2448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005334101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional