Provider Demographics
NPI:1457803108
Name:LLOYD, MICHELE (SOCIAL WORKER, LLMSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:
Last Name:LLOYD
Suffix:
Gender:F
Credentials:SOCIAL WORKER, LLMSW
Other - Prefix:MRS
Other - First Name:MICHELE
Other - Middle Name:EVETTE
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LLMSW
Mailing Address - Street 1:715 PYLE DR
Mailing Address - Street 2:
Mailing Address - City:KINGSFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49802-4456
Mailing Address - Country:US
Mailing Address - Phone:906-779-7296
Mailing Address - Fax:
Practice Address - Street 1:6155 COLORADO ST
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-1817
Practice Address - Country:US
Practice Address - Phone:906-779-7296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-28
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical