Provider Demographics
NPI:1306524426
Name:LLOYD, RYAN KENT (LMFT, LCDC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:KENT
Last Name:LLOYD
Suffix:
Gender:M
Credentials:LMFT, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 ANN ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-7005
Mailing Address - Country:US
Mailing Address - Phone:817-709-4844
Mailing Address - Fax:
Practice Address - Street 1:1104 ANN ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-7005
Practice Address - Country:US
Practice Address - Phone:817-709-4844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203973106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty