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General NPI Number Information
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NPI Number | 1225403710
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Entity Type | Organization
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Legal Business Name | LLOYD CLOUD THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 5731 GEORGE WASHINGTON MEM HWY STE 4A
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City | YORKTOWN
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State | VA
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Zip | 23692-2685
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Country | US
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Telephone | 860-301-1664
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Fax | 757-890-6204
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Provider Business Mailing Address
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Address Line | 103 TRAFALGAR CT
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5785
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Country | US
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Telephone | 860-301-1664
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Fax | 757-890-6204
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LLOYD EZEKIEL CLOUD
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Credential | LCSW
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Telephone | 860-301-1664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 005725
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0904008979
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License Number State | VA
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