Provider Demographics
NPI:1417570862
Name:FLOYD, EMILY NELSON (LCMHC-A,LCAS)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:NELSON
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LCMHC-A,LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 SUMMIT CROSSING PL STE 305
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2176
Mailing Address - Country:US
Mailing Address - Phone:704-387-5447
Mailing Address - Fax:
Practice Address - Street 1:620 SUMMIT CROSSING PL STE 305
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2176
Practice Address - Country:US
Practice Address - Phone:704-387-5447
Practice Address - Fax:704-313-1092
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-27668101YA0400X
NCA17060101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)