MEDICARE: TERESAMARIE LOYA LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	20299	CA

General Provider Information

NPI Number	:	1548997935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESAMARIE LOYA LPCC

Provider Business Mailing Address
First Line	:	1130 E CLARK AVE STE 150
Second Line	:
City	:	ORCUTT
State	:	CA
Zip	:	93455-5178
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2370 SKYWAY DR STE 104
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455-1133
Country	:	US
Telephone Number	:	805-554-3308
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	09/17/2025

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