MEDICARE: RAESAUN LOYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1356298137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAESAUN LOYD

Provider Business Mailing Address
First Line	:	945 N CENTRAL AVE
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1604
Country	:	US
Telephone Number	:	336-761-4193
Fax Number	:

Provider Business Practice Location Address
First Line	:	3903 SUNFLOWER PL
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-3238
Country	:	US
Telephone Number	:	336-761-4193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

Similar Medicare Providers

1225983075 — JESSICA LOYD
Practice Location Address:

3903 SUNFLOWER PL
WINSTON SALEM, NC
27105-3238

Practice Phone: 336-979-0248
Practice Fax:

1457208654 — CHRISTIAN FAITH COUNSELING PLLC
Practice Location Address:

501 W 26TH ST
WINSTON SALEM, NC
27105-4918

Practice Phone: 336-926-2017
Practice Fax:

1043979180 — BRITTANY LEIGH ANN COLLINS LCSWA
Practice Location Address:

4555 OGBURN AVE
WINSTON SALEM, NC
27105-2726

Practice Phone: 336-703-4273
Practice Fax:

1285580381 — REJUVENATION SUPPORT SERVICES, INC
Practice Location Address:

4554 RENIGAR ST
WINSTON SALEM, NC
27105-2936

Practice Phone: 678-827-1052
Practice Fax:

1073460879 — MARINA BEATTY LCMHCA
Practice Location Address:

1151 CONLEY ST
WINSTON SALEM, NC
27105-2809

Practice Phone: 239-250-9121
Practice Fax:

1932055001 — GGSWELLNESS CENTERS
Practice Location Address:

5207 OLD RURAL HALL RD
WINSTON SALEM, NC
27105-2336

Practice Phone: 336-608-9447
Practice Fax:

Directions to “ RAESAUN LOYD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.