Provider Demographics
NPI:1568736296
Name:FLOYD, ERNEST C
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:C
Last Name:FLOYD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 MAY ST FL 3
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-2548
Mailing Address - Country:US
Mailing Address - Phone:508-756-6823
Mailing Address - Fax:508-756-6829
Practice Address - Street 1:280 MAY ST FL 3
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-2548
Practice Address - Country:US
Practice Address - Phone:508-756-6823
Practice Address - Fax:508-756-6829
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor