Provider Demographics
NPI:1538898762
Name:LLOYD, COURTNEY ALYSON (MSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ALYSON
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 WEST BROAD STREET
Mailing Address - Street 2:PO BOX 1894
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:28337
Mailing Address - Country:US
Mailing Address - Phone:910-862-4151
Mailing Address - Fax:910-862-3470
Practice Address - Street 1:306 W BROAD ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NC
Practice Address - Zip Code:28337-9396
Practice Address - Country:US
Practice Address - Phone:910-862-4151
Practice Address - Fax:910-862-3470
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-04
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0175581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty