MEDICARE: ANNALYSE FLORCYK

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1134068901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNALYSE FLORCYK

Provider Business Mailing Address
First Line	:	22664 STATE ROUTE 73
Second Line	:
City	:	WEST PORTSMOUTH
State	:	OH
Zip	:	45663-6365
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22664 STATE ROUTE 73
Second Line	:
City	:	WEST PORTSMOUTH
State	:	OH
Zip	:	45663-6365
Country	:	US
Telephone Number	:	740-858-6690
Fax Number	:

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

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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Directions to “ ANNALYSE FLORCYK ” Practice Location

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