Provider Demographics
NPI:1326748435
Name:FLOYD, DANIELA TESSA (LMHC)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:TESSA
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 N WISCOMB ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2068
Mailing Address - Country:US
Mailing Address - Phone:407-453-5054
Mailing Address - Fax:
Practice Address - Street 1:3011 N WISCOMB ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2068
Practice Address - Country:US
Practice Address - Phone:407-453-5054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61393880101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health