Basic Information
| Provider Information | |||||||||
| NPI: | 1417481029 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LLOYD | ||||||||
| FirstName: | DANIELL | ||||||||
| MiddleName: | CRAIG | ||||||||
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| Credential: | LPC-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1305 N GATEWOOD AVE | ||||||||
| Address2: | APARTMENT A | ||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731062276 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4054083035 | ||||||||
| FaxNumber: | 4056103364 | ||||||||
| Practice Location | |||||||||
| Address1: | 2801 PARKLAWN DR | ||||||||
| Address2: | |||||||||
| City: | MIDWEST CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731104211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4056103644 | ||||||||
| FaxNumber: | 4056103647 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2017 | ||||||||
| LastUpdateDate: | 04/20/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.