Provider Demographics
NPI:1255719381
Name:LLOYD, VICTORIA A (LPCC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:A
Last Name:LLOYD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80654 AVENIDA SANTA MARTA
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92203-7438
Mailing Address - Country:US
Mailing Address - Phone:760-534-1752
Mailing Address - Fax:
Practice Address - Street 1:80654 AVENIDA SANTA MARTA
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92203-7438
Practice Address - Country:US
Practice Address - Phone:760-534-1752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9661101YA0400X, 101YM0800X, 101YP2500X
CA3744101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health