Provider Demographics
NPI:1245499557
Name:LOYA, CAROL L (LPC)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:L
Last Name:LOYA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5793 N FARM ROAD 171
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65803-8658
Mailing Address - Country:US
Mailing Address - Phone:417-224-3344
Mailing Address - Fax:
Practice Address - Street 1:3765 N STATE HIGHWAY H
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65803-7137
Practice Address - Country:US
Practice Address - Phone:417-501-4739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008012400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional