Provider Demographics
NPI:1861522021
Name:FLOYD, LOUIS CRAIG (M DIV , LPC)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:CRAIG
Last Name:FLOYD
Suffix:
Gender:M
Credentials:M DIV , LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14636 REESE BLVD.
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078
Mailing Address - Country:US
Mailing Address - Phone:704-408-5552
Mailing Address - Fax:
Practice Address - Street 1:14636 REESE BLVD.
Practice Address - Street 2:SUITE B-1
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078
Practice Address - Country:US
Practice Address - Phone:704-408-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3122101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103393Medicaid