Provider Demographics
NPI:1710141254
Name:FLOYD, MARLO LASHAWNA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARLO
Middle Name:LASHAWNA
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9715 OVERBY CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-1514
Mailing Address - Country:US
Mailing Address - Phone:501-350-5677
Mailing Address - Fax:501-747-2107
Practice Address - Street 1:9715 OVERBY CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-1514
Practice Address - Country:US
Practice Address - Phone:501-350-5677
Practice Address - Fax:501-747-2107
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1402011101YP2500X
AR101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP1402011OtherLICENSED PROFESSIONAL COUNSELOR