=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033342035
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LLOYD CONSULTATION, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2009
-----------------------------------------------------
Last Update Date | 08/25/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12720 MEADOWS EDGE LN
-----------------------------------------------------
City | LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72211-4442
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-308-9495
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 56436
-----------------------------------------------------
City | LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72215-6436
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-308-9495
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. ELVON CHRISTOPHER LLOYD
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 919-308-9495
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 2249-C
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------