Provider Demographics
NPI:1982093159
Name:NAYLOR, LAVELDA JOYCE (LMFTA)
Entity Type:Individual
Prefix:MRS
First Name:LAVELDA
Middle Name:JOYCE
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4230 GARDENDALE ST STE 502
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3699
Mailing Address - Country:US
Mailing Address - Phone:210-460-0442
Mailing Address - Fax:210-593-9751
Practice Address - Street 1:4230 GARDENDALE ST STE 502
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3699
Practice Address - Country:US
Practice Address - Phone:210-460-0442
Practice Address - Fax:210-593-9751
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202002106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist