Provider Demographics
NPI:1700105350
Name:LLOYD, MARIA THERESA (LCPC)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:THERESA
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 1:4004 SILVER SPRING RD
Mailing Address - Street 2:APARTMENT B1
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-2237
Mailing Address - Country:US
Mailing Address - Phone:443-928-1971
Mailing Address - Fax:
Practice Address - Street 1:4004 SILVER SPRING RD
Practice Address - Street 2:APARTMENT B1
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-2237
Practice Address - Country:US
Practice Address - Phone:443-928-1971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3376101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health