Provider Demographics
NPI:1982773479
Name:LLOYD, SUSAN MILLER (LCPC)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:MILLER
Last Name:LLOYD
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9601 165TH ST
Mailing Address - Street 2:SUITE # 6
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5660
Mailing Address - Country:US
Mailing Address - Phone:708-692-1014
Mailing Address - Fax:708-429-7430
Practice Address - Street 1:9601 165TH ST
Practice Address - Street 2:SUITE # 6
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5660
Practice Address - Country:US
Practice Address - Phone:708-692-1014
Practice Address - Fax:708-429-7430
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-005016101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional