Provider Demographics
NPI:1336389048
Name:LLOYD, TERESA LEA (CPCI)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:LEA
Last Name:LLOYD
Suffix:
Gender:F
Credentials:CPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 N 500 W APT 4
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-5718
Mailing Address - Country:US
Mailing Address - Phone:435-256-0291
Mailing Address - Fax:
Practice Address - Street 1:546 N 500 W APT 4
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5718
Practice Address - Country:US
Practice Address - Phone:435-256-0291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5962227-6006101YA0400X
UT5962227-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)