Provider Demographics
NPI:1417640996
Name:FLOYD, RACHEL KATHERIN (LMSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:KATHERIN
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9716 S 72ND EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6027
Mailing Address - Country:US
Mailing Address - Phone:405-313-1820
Mailing Address - Fax:
Practice Address - Street 1:1616 N GILCREASE MUSEUM RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-2101
Practice Address - Country:US
Practice Address - Phone:405-313-1820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20252101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health