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NPI Code Detail

MEDICARE: LISA FLOYD LMHCA

MEDICARE: LISA FLOYD LMHCA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1851063838
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA FLOYD LMHCA
Provider Business Mailing Address
First Line : 447 E 38TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-2622
Country : US
Telephone Number : 317-455-5642
Fax Number :
Provider Business Practice Location Address
First Line : 447 E 38TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-2622
Country : US
Telephone Number : 317-455-5642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 09/29/2021

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Directions to “ LISA FLOYD LMHCA” Practice Location

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