Healthcare Provider Details

I. General information

NPI: 1255297875
Provider Name (Legal Business Name): LOYD BEHAVIORAL AND FAMILY WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 SAN CARLOS CIR
CORONA CA
92879-7753
US

IV. Provider business mailing address

821 SAN CARLOS CIR
CORONA CA
92879-7753
US

V. Phone/Fax

Practice location:
  • Phone: 559-207-0003
  • Fax:
Mailing address:
  • Phone: 559-207-0003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. WESLEY LOYD JR.
Title or Position: FOUNDER
Credential: RBT
Phone: 559-207-0003