Healthcare Provider Details

I. General information

NPI: 1831989201
Provider Name (Legal Business Name): SHAMEKA LASHELL LLOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEKA LASHELL LLOYD

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 DAVIS ST
EVANSTON IL
60201-4619
US

IV. Provider business mailing address

501 DAVIS ST
EVANSTON IL
60201-4619
US

V. Phone/Fax

Practice location:
  • Phone: 312-815-9660
  • Fax:
Mailing address:
  • Phone: 202-669-3238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: