Provider Demographics
NPI:1235543414
Name:FLOYD, KASI (LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:KASI
Middle Name:
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 PLAINFIELD CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-6125
Mailing Address - Country:US
Mailing Address - Phone:973-534-7838
Mailing Address - Fax:
Practice Address - Street 1:3329 WRIGHTSVILLE AVE UNIT F
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4115
Practice Address - Country:US
Practice Address - Phone:973-534-7838
Practice Address - Fax:910-939-1701
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9569101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor