Provider Demographics
NPI:1699166710
Name:LLOYD, IAN STUART (LMSW,)
Entity type:Individual
Prefix:MR
First Name:IAN
Middle Name:STUART
Last Name:LLOYD
Suffix:
Gender:M
Credentials:LMSW,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37799 PROF CENTER #106
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1123
Mailing Address - Country:US
Mailing Address - Phone:248-343-4695
Mailing Address - Fax:248-380-7227
Practice Address - Street 1:37799 PROF CENTER #106
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1123
Practice Address - Country:US
Practice Address - Phone:248-343-4695
Practice Address - Fax:248-380-7227
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010857381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical