Loyal Source Worldwide, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LOYAL SOURCE WORLDWIDE, INC.

Doing business as

Loyal Cares

Practice address

12612 Challenger Pkwy Ste 365
Orlando, FL 32826-2784

Phone

(407) 707-9781

Fax

(234) 241-2258

NPI assigned

Mar 25, 2021

Last updated

Apr 19, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa Lello, LMHC

Title

Behavioral Health Clinic Director

Phone

(407) 707-9781

Specialties & licenses 5

Addresses

Other names 1

• Loyal Cares Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1679150742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY STE 365",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262784",
            "telephone_number": "407-707-9781",
            "fax_number": "234-241-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY STE 365",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262784",
            "telephone_number": "407-707-9781",
            "fax_number": "234-241-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYAL SOURCE WORLDWIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "LELLO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH CLINIC DIRECTOR",
        "authorized_official_telephone_number": "407-707-9781",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loyal Cares",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Suzanne Lowry, ALMFT
• Laura Elizabeth Lowry
• Lisa Shuman Lowry, CRNA
• Tiffany Lowther
• Loyal Source Government Services
• Joice Loyola Varea
• Iliana J Loyola
• Ana M Lozada, MA
• Marisol Lozada, COTA/L
• Tatiana Paola Lozada, RBT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.