Provider Demographics
NPI:1780275982
Name:ERICKSON, FLOYD DANIEL (LCPC)
Entity type:Individual
Prefix:MR
First Name:FLOYD
Middle Name:DANIEL
Last Name:ERICKSON
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 MACCHIPKAY RD
Mailing Address - Street 2:
Mailing Address - City:ARUNDEL
Mailing Address - State:ME
Mailing Address - Zip Code:04046-7741
Mailing Address - Country:US
Mailing Address - Phone:207-831-4125
Mailing Address - Fax:
Practice Address - Street 1:72 MACCHIPKAY RD
Practice Address - Street 2:
Practice Address - City:ARUNDEL
Practice Address - State:ME
Practice Address - Zip Code:04046-7741
Practice Address - Country:US
Practice Address - Phone:207-831-4125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-30
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health