Healthcare Provider Details

I. General information

NPI: 1033920038
Provider Name (Legal Business Name): ROBYN ELAINE LLOYD LPC-23519
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/19/2025
Certification Date: 01/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20325 N 51ST AVE STE 168
GLENDALE AZ
85308-4624
US

IV. Provider business mailing address

7723 W WATSON LN
PEORIA AZ
85381-8535
US

V. Phone/Fax

Practice location:
  • Phone: 844-385-3747
  • Fax:
Mailing address:
  • Phone: 602-214-1746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-23519
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: